Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.27 / $125.27 / $354.85	Facility		$125.27	$125.27	$354.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.27 / $177.88 / $214.58	Professional		$125.27	$177.88	$214.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.72 / $421.01 / $1,103.64	Facility		$300.72	$421.01	$1,103.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.32 / $250.04 / $480.08	Professional		$160.32	$250.04	$480.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.61 / $296.56 / $556.33	Facility		$255.61	$296.56	$556.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $255.61 / $255.61	Professional		$255.61	$255.61	$255.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $225.68	Facility		$225.68	$225.68	$225.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $220.85 / $404.63	Professional		$164.75	$220.85	$404.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.55 / $300.72 / $545.98	Professional		$228.55	$300.72	$545.98
United Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $150.02 / $247.50	Professional		$117.47	$150.02	$247.50