Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $537.03	Facility		$181.97	$181.97	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $407.38	Professional		$181.97	$257.04	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,047.13 / $1,621.81	Facility		$446.68	$1,047.13	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $588.84	Professional		$234.42	$363.08	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $794.33	Facility		$363.08	$363.08	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $537.03	Professional		$269.15	$269.15	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $602.56	Professional		$309.03	$446.68	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $346.74	Facility		$165.96	$302.00	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $426.58	Professional		$144.54	$218.78	$426.58