Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.31 / $119.31 / $337.95	Facility		$119.31	$119.31	$337.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $163.92 / $207.00	Professional		$119.31	$163.92	$207.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.39 / $400.96 / $1,051.08	Facility		$286.39	$400.96	$1,051.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $238.13 / $457.21	Professional		$152.68	$238.13	$457.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $243.44 / $304.83 / $529.84	Facility		$243.44	$304.83	$529.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.44 / $243.44 / $243.44	Professional		$243.44	$243.44	$243.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $364.70	Professional		$124.49	$170.54	$364.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.66 / $286.39 / $495.86	Professional		$217.66	$286.39	$495.86
United Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $142.88 / $235.73	Professional		$106.62	$142.88	$235.73