Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.80 / $181.80 / $514.95	Facility		$181.80	$181.80	$514.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.80 / $258.14 / $366.84	Professional		$181.80	$258.14	$366.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.40 / $610.96 / $1,601.59	Facility		$436.40	$610.96	$1,601.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.66 / $362.86 / $696.69	Professional		$232.66	$362.86	$696.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $370.94 / $465.78 / $807.34	Facility		$370.94	$465.78	$807.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.94 / $370.94 / $370.94	Professional		$370.94	$370.94	$370.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $366.26	Facility		$366.26	$366.26	$366.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $346.87 / $583.34	Professional		$267.37	$346.87	$583.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.66 / $436.40 / $606.48	Professional		$331.66	$436.40	$606.48
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $217.72 / $359.19	Professional		$145.13	$217.72	$359.19