Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.68 / $200.68 / $568.45	Facility		$200.68	$200.68	$568.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $230.12 / $321.08	Professional		$186.23	$230.12	$321.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.74 / $674.44 / $1,767.99	Facility		$481.74	$674.44	$1,767.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $400.56 / $769.08	Professional		$233.00	$400.56	$769.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.52 / $409.48 / $891.22	Facility		$331.52	$409.48	$891.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.48 / $409.48 / $409.48	Professional		$409.48	$409.48	$409.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $305.27	Facility		$305.27	$305.27	$305.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $278.24 / $509.63	Professional		$222.85	$278.24	$509.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.12 / $481.74 / $717.23	Professional		$366.12	$481.74	$717.23
United Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $240.34 / $396.51	Professional		$160.22	$240.34	$396.51