Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $171.87 / $486.84	Facility		$171.87	$171.87	$486.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $196.35 / $321.18	Professional		$171.87	$196.35	$321.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.58 / $577.61 / $1,514.17	Facility		$412.58	$577.61	$1,514.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.39 / $343.05 / $658.66	Professional		$217.39	$343.05	$658.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $350.69 / $763.27	Facility		$315.08	$350.69	$763.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $350.69 / $350.69 / $350.69	Professional		$350.69	$350.69	$350.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $234.63 / $429.75	Professional		$175.04	$234.63	$429.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.56 / $412.58 / $573.45	Professional		$313.56	$412.58	$573.45
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $205.83 / $343.05	Professional		$144.80	$205.83	$343.05