Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.22 / $173.22 / $490.68	Facility		$173.22	$173.22	$490.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.22 / $248.10 / $309.37	Professional		$173.22	$248.10	$309.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.83 / $582.16 / $1,526.10	Facility		$415.83	$582.16	$1,526.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $345.75 / $663.84	Professional		$221.71	$345.75	$663.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $353.46 / $445.20 / $769.29	Facility		$353.46	$445.20	$769.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.46 / $353.46 / $353.46	Professional		$353.46	$353.46	$353.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $268.63 / $492.00	Professional		$200.41	$268.63	$492.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $415.83 / $752.86	Professional		$316.02	$415.83	$752.86
United Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $207.45 / $342.27	Professional		$161.84	$207.45	$342.27