Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $145.91 / $413.31	Facility		$145.91	$145.91	$413.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $210.11 / $275.97	Professional		$145.91	$210.11	$275.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.26 / $490.36 / $1,285.45	Facility		$350.26	$490.36	$1,285.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.74 / $291.24 / $559.17	Professional		$186.74	$291.24	$559.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.72 / $350.26 / $686.51	Facility		$297.72	$350.26	$686.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.72 / $297.72 / $297.72	Professional		$297.72	$297.72	$297.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $243.19	Facility		$243.19	$243.19	$243.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $237.96 / $435.75	Professional		$177.53	$237.96	$435.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $350.26 / $486.58	Professional		$266.20	$350.26	$486.58
United Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $174.74 / $375.92	Professional		$152.13	$174.74	$375.92