Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.77 / $181.77 / $754.10	Facility		$181.77	$181.77	$754.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $229.53 / $290.82	Professional		$181.77	$229.53	$290.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.34 / $610.88 / $1,601.37	Facility		$436.34	$610.88	$1,601.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $362.80 / $696.58	Professional		$232.63	$362.80	$696.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $358.91 / $370.89 / $807.23	Facility		$358.91	$370.89	$807.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.89 / $370.89 / $370.89	Professional		$370.89	$370.89	$370.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $273.14 / $273.14	Facility		$273.14	$273.14	$273.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $199.40 / $489.38	Professional		$199.40	$199.40	$489.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.62 / $436.34 / $1,014.00	Professional		$331.62	$436.34	$1,014.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $217.68 / $362.80	Professional		$145.12	$217.68	$362.80