Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.83 / $187.83 / $532.05	Facility		$187.83	$187.83	$532.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.83 / $266.72 / $338.90	Professional		$187.83	$266.72	$338.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.90 / $631.26 / $1,654.80	Facility		$450.90	$631.26	$1,654.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.40 / $374.91 / $719.83	Professional		$240.40	$374.91	$719.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $383.27 / $422.75 / $834.17	Facility		$383.27	$422.75	$834.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $383.27 / $383.27 / $383.27	Professional		$383.27	$383.27	$383.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $315.70	Facility		$315.70	$315.70	$315.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $308.92 / $565.88	Professional		$230.47	$308.92	$565.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.68 / $450.90 / $800.84	Professional		$342.68	$450.90	$800.84
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $224.95 / $371.14	Professional		$172.16	$224.95	$371.14