Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $380.19	Facility		$128.82	$128.82	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $302.00	Professional		$128.82	$181.97	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $741.31 / $1,148.15	Facility		$316.23	$741.31	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $416.87	Professional		$165.96	$257.04	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $575.44	Facility		$263.03	$263.03	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $371.54	Professional		$194.98	$194.98	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $562.34	Professional		$218.78	$316.23	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $213.80 / $245.47	Facility		$117.49	$213.80	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $302.00	Professional		$102.33	$154.88	$302.00