Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.12 / $170.12 / $481.87	Facility		$170.12	$170.12	$481.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $233.57 / $329.90	Professional		$170.12	$233.57	$329.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.36 / $571.70 / $1,498.68	Facility		$408.36	$571.70	$1,498.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $339.55 / $651.94	Professional		$217.71	$339.55	$651.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $347.11 / $393.55 / $755.47	Facility		$347.11	$393.55	$755.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $347.11 / $347.11 / $347.11	Professional		$347.11	$347.11	$347.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $299.52	Facility		$299.52	$299.52	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $293.08 / $536.63	Professional		$218.65	$293.08	$536.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.35 / $408.36 / $742.19	Professional		$310.35	$408.36	$742.19
United Facility/Professional Professional Modifier Low / Median / High Price $159.52 / $203.73 / $336.11	Professional		$159.52	$203.73	$336.11