Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.31 / $153.31 / $434.28	Facility		$153.31	$153.31	$434.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $217.69 / $261.08	Professional		$153.31	$217.69	$261.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.03 / $515.24 / $1,350.67	Facility		$368.03	$515.24	$1,350.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $306.00 / $587.52	Professional		$196.21	$306.00	$587.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.83 / $384.31 / $680.86	Facility		$312.83	$384.31	$680.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $312.83 / $312.83 / $312.83	Professional		$312.83	$312.83	$312.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $292.48	Facility		$292.48	$292.48	$292.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $286.20 / $486.12	Professional		$213.51	$286.20	$486.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $368.03 / $661.14	Professional		$279.70	$368.03	$661.14
United Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $183.60 / $302.91	Professional		$122.40	$183.60	$302.91