Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.24 / $118.24 / $334.92	Facility		$118.24	$118.24	$334.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $140.71 / $191.73	Professional		$109.74	$140.71	$191.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.83 / $397.36 / $1,041.66	Facility		$283.83	$397.36	$1,041.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $236.01 / $453.14	Professional		$136.93	$236.01	$453.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.22 / $241.26 / $525.09	Facility		$190.22	$241.26	$525.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.26 / $241.26 / $241.26	Professional		$241.26	$241.26	$241.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $298.83	Professional		$124.07	$124.07	$298.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.71 / $283.83 / $393.97	Professional		$215.71	$283.83	$393.97
United Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $141.61 / $233.90	Professional		$94.40	$141.61	$233.90