Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.72 / $165.72 / $469.42	Facility		$165.72	$165.72	$469.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.72 / $203.83 / $276.56	Professional		$165.72	$203.83	$276.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.81 / $556.92 / $1,459.96	Facility		$397.81	$556.92	$1,459.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.18 / $330.78 / $635.10	Professional		$210.18	$330.78	$635.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $353.34 / $735.95	Facility		$310.52	$353.34	$735.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.14 / $338.14 / $338.14	Professional		$338.14	$338.14	$338.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $423.38	Professional		$166.64	$228.28	$423.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $397.81 / $552.99	Professional		$302.33	$397.81	$552.99
United Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $198.47 / $389.34	Professional		$164.56	$198.47	$389.34