Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.51 / $188.51 / $533.97	Facility		$188.51	$188.51	$533.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $267.41 / $380.39	Professional		$188.51	$267.41	$380.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.52 / $633.53 / $1,660.75	Facility		$452.52	$633.53	$1,660.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.26 / $376.26 / $722.42	Professional		$241.26	$376.26	$722.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.64 / $441.29 / $837.16	Facility		$384.64	$441.29	$837.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.64 / $384.64 / $384.64	Professional		$384.64	$384.64	$384.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $335.84	Facility		$335.84	$335.84	$335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $601.88	Professional		$245.16	$245.16	$601.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.92 / $452.52 / $629.08	Professional		$343.92	$452.52	$629.08
United Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $225.76 / $372.46	Professional		$185.10	$225.76	$372.46