Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.52 / $116.52 / $330.03	Facility		$116.52	$116.52	$330.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $167.78 / $235.11	Professional		$116.52	$167.78	$235.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.69 / $391.57 / $1,026.46	Facility		$279.69	$391.57	$1,026.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $232.56 / $446.52	Professional		$149.11	$232.56	$446.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.74 / $303.35 / $517.42	Facility		$237.74	$303.35	$517.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $237.74 / $237.74	Professional		$237.74	$237.74	$237.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $174.77	Facility		$174.77	$174.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $324.38	Professional		$127.58	$174.77	$324.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.56 / $279.69 / $388.49	Professional		$212.56	$279.69	$388.49
United Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $139.54 / $230.21	Professional		$93.02	$139.54	$230.21