Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.97 / $218.97 / $620.26	Facility		$218.97	$218.97	$620.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.97 / $310.94 / $431.31	Professional		$218.97	$310.94	$431.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.64 / $735.90 / $1,929.10	Facility		$525.64	$735.90	$1,929.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.26 / $437.07 / $839.17	Professional		$280.26	$437.07	$839.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.60 / $446.79 / $972.43	Facility		$439.60	$446.79	$972.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.79 / $446.79 / $446.79	Professional		$446.79	$446.79	$446.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $364.44	Facility		$364.44	$364.44	$364.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $327.37 / $599.63	Professional		$266.04	$327.37	$599.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.49 / $525.64 / $730.23	Professional		$399.49	$525.64	$730.23
United Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $262.24 / $437.07	Professional		$174.83	$262.24	$437.07