Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $549.54	Facility		$186.21	$186.21	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $416.87	Professional		$186.21	$257.04	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,096.48 / $1,698.24	Facility		$457.09	$1,096.48	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $602.56	Professional		$239.88	$380.19	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $794.33	Facility		$338.84	$338.84	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $549.54	Professional		$245.47	$245.47	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $630.96	Professional		$323.59	$457.09	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $331.13 / $354.81	Facility		$169.82	$331.13	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $389.05	Professional		$151.36	$223.87	$389.05