Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $626.23 / $1,252.46	Facility		$116.00	$626.23	$1,252.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $164.72 / $207.26	Professional		$116.00	$164.72	$207.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.45 / $389.84 / $1,021.95	Facility		$278.45	$389.84	$1,021.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.46 / $231.54 / $444.56	Professional		$148.46	$231.54	$444.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.69 / $315.58 / $545.78	Facility		$236.69	$315.58	$545.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $236.69 / $236.69	Professional		$236.69	$236.69	$236.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $371.87	Professional		$129.68	$177.64	$371.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.63 / $278.45 / $505.46	Professional		$211.63	$278.45	$505.46
United Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $138.91 / $229.21	Professional		$92.62	$138.91	$229.21