Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.87 / $166.87 / $472.68	Facility		$166.87	$166.87	$472.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.87 / $205.04 / $268.70	Professional		$166.87	$205.04	$268.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.58 / $560.80 / $1,470.13	Facility		$400.58	$560.80	$1,470.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.46 / $333.07 / $639.49	Professional		$204.46	$333.07	$639.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.49 / $345.48 / $741.07	Facility		$288.49	$345.48	$741.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.49 / $340.49 / $340.49	Professional		$340.49	$340.49	$340.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $449.38	Professional		$178.17	$244.07	$449.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.44 / $400.58 / $629.37	Professional		$304.44	$400.58	$629.37
United Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $199.84 / $346.61	Professional		$133.22	$199.84	$346.61