Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $512.86	Facility		$173.78	$173.78	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $389.05	Professional		$173.78	$251.19	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,023.29 / $1,548.82	Facility		$426.58	$1,023.29	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $575.44	Professional		$223.87	$346.74	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $776.25	Facility		$363.08	$363.08	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $512.86	Professional		$263.03	$263.03	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $776.25	Professional		$302.00	$426.58	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $309.03 / $331.13	Facility		$162.18	$309.03	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $407.38	Professional		$138.04	$208.93	$407.38