Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $150.01 / $424.92	Facility		$150.01	$150.01	$424.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $192.14 / $240.02	Professional		$150.01	$192.14	$240.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.10 / $504.14 / $1,321.57	Facility		$360.10	$504.14	$1,321.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.55 / $299.42 / $574.89	Professional		$194.55	$299.42	$574.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.10 / $306.08 / $666.19	Facility		$297.10	$306.08	$666.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Professional		$306.08	$306.08	$306.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $231.66	Facility		$231.66	$231.66	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $169.11 / $415.13	Professional		$169.11	$169.11	$415.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.68 / $360.10 / $753.00	Professional		$273.68	$360.10	$753.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $179.65 / $296.39	Professional		$124.97	$179.65	$296.39