Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.99 / $186.99 / $529.67	Facility		$186.99	$186.99	$529.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.99 / $246.53 / $354.89	Professional		$186.99	$246.53	$354.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.88 / $628.42 / $1,647.39	Facility		$448.88	$628.42	$1,647.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.31 / $373.23 / $716.60	Professional		$239.31	$373.23	$716.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $366.93 / $381.55 / $830.43	Facility		$366.93	$381.55	$830.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.55 / $381.55 / $381.55	Professional		$381.55	$381.55	$381.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $279.26	Facility		$279.26	$279.26	$279.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $273.25 / $500.63	Professional		$203.86	$273.25	$500.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.15 / $448.88 / $623.67	Professional		$341.15	$448.88	$623.67
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $223.94 / $388.40	Professional		$168.62	$223.94	$388.40