Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.17 / $208.17 / $589.66	Facility		$208.17	$208.17	$589.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.17 / $266.68 / $333.06	Professional		$208.17	$266.68	$333.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.71 / $699.59 / $1,833.94	Facility		$499.71	$699.59	$1,833.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.23 / $415.50 / $797.76	Professional		$274.23	$415.50	$797.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $412.38 / $424.75 / $924.46	Facility		$412.38	$424.75	$924.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $424.75 / $424.75 / $424.75	Professional		$424.75	$424.75	$424.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $321.50	Facility		$321.50	$321.50	$321.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $576.38	Professional		$234.70	$234.70	$576.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.78 / $499.71 / $3,138.00	Professional		$379.78	$499.71	$3,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $249.30 / $432.38	Professional		$185.66	$249.30	$432.38