Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.46 / $174.46 / $494.17	Facility		$174.46	$174.46	$494.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $247.73 / $310.92	Professional		$174.46	$247.73	$310.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $586.30 / $1,536.96	Facility		$418.79	$586.30	$1,536.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.28 / $348.21 / $668.56	Professional		$223.28	$348.21	$668.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.97 / $429.92 / $820.83	Facility		$355.97	$429.92	$820.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.97 / $355.97 / $355.97	Professional		$355.97	$355.97	$355.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $570.60	Professional		$238.86	$238.86	$570.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.27 / $418.79 / $1,162.00	Professional		$318.27	$418.79	$1,162.00
United Facility/Professional Facility Modifier Low / Median / High Price $128.78 / $276.08 / $314.79	Facility		$128.78	$276.08	$314.79
United Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $208.93 / $348.21	Professional		$139.28	$208.93	$348.21