Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $436.52	Facility		$151.36	$151.36	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $302.00	Professional		$151.36	$177.83	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $870.96 / $1,348.96	Facility		$371.54	$870.96	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $446.68	Professional		$194.98	$302.00	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $575.44	Facility		$229.09	$229.09	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $416.87	Professional		$169.82	$169.82	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $707.95	Professional		$239.88	$371.54	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $251.19	Facility		$123.03	$239.88	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $354.81	Professional		$120.23	$177.83	$354.81