Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.26 / $128.26 / $363.30	Facility		$128.26	$128.26	$363.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $182.12 / $236.07	Professional		$128.26	$182.12	$236.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.88 / $431.03 / $1,129.92	Facility		$307.88	$431.03	$1,129.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $256.00 / $491.52	Professional		$164.14	$256.00	$491.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.70 / $348.93 / $569.58	Facility		$261.70	$348.93	$569.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.70 / $261.70 / $261.70	Professional		$261.70	$261.70	$261.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.56 / $265.56 / $265.56	Facility		$265.56	$265.56	$265.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $246.90 / $411.29	Professional		$193.86	$246.90	$411.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.99 / $307.88 / $559.85	Professional		$233.99	$307.88	$559.85
United Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $153.60 / $253.41	Professional		$102.40	$153.60	$253.41