Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $588.84	Facility		$199.53	$199.53	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $407.38	Professional		$190.55	$218.78	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,174.90 / $1,819.70	Facility		$489.78	$1,174.90	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $616.60	Professional		$234.42	$398.11	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $691.83	Facility		$302.00	$302.00	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $512.86	Professional		$223.87	$223.87	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $724.44	Professional		$288.40	$489.78	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $269.15 / $302.00	Facility		$147.91	$269.15	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $416.87	Professional		$158.49	$239.88	$416.87