Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.78 / $142.78 / $404.42	Facility		$142.78	$142.78	$404.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $171.97 / $228.44	Professional		$142.78	$171.97	$228.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.73 / $479.82 / $1,257.82	Facility		$342.73	$479.82	$1,257.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.72 / $284.98 / $547.16	Professional		$182.72	$284.98	$547.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.83 / $291.32 / $634.04	Facility		$282.83	$291.32	$634.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.32 / $291.32 / $291.32	Professional		$291.32	$291.32	$291.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $220.51	Facility		$220.51	$220.51	$220.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $215.78 / $395.25	Professional		$160.97	$215.78	$395.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.47 / $342.73 / $476.46	Professional		$260.47	$342.73	$476.46
United Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $170.99 / $282.10	Professional		$113.99	$170.99	$282.10