Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.18 / $181.18 / $513.23	Facility		$181.18	$181.18	$513.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.18 / $257.27 / $329.27	Professional		$181.18	$257.27	$329.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.94 / $608.91 / $1,596.23	Facility		$434.94	$608.91	$1,596.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $361.64 / $694.35	Professional		$231.88	$361.64	$694.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.70 / $434.94 / $852.48	Facility		$369.70	$434.94	$852.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $369.70 / $369.70 / $369.70	Professional		$369.70	$369.70	$369.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $271.77	Facility		$271.77	$271.77	$271.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $271.77 / $504.38	Professional		$198.39	$271.77	$504.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.55 / $434.94 / $603.97	Professional		$330.55	$434.94	$603.97
United Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $216.98 / $361.64	Professional		$144.66	$216.98	$361.64