Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.84 / $196.84 / $557.57	Facility		$196.84	$196.84	$557.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $252.17 / $314.94	Professional		$196.84	$252.17	$314.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.52 / $661.53 / $1,734.15	Facility		$472.52	$661.53	$1,734.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.92 / $392.89 / $754.35	Professional		$251.92	$392.89	$754.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.92 / $401.64 / $874.16	Facility		$389.92	$401.64	$874.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $401.64 / $401.64 / $401.64	Professional		$401.64	$401.64	$401.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $294.27	Facility		$294.27	$294.27	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $294.27 / $544.88	Professional		$214.82	$294.27	$544.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.12 / $472.52 / $762.45	Professional		$359.12	$472.52	$762.45
United Facility/Professional Facility Modifier Low / Median / High Price $129.11 / $276.79 / $315.60	Facility		$129.11	$276.79	$315.60
United Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $235.73 / $388.93	Professional		$164.01	$235.73	$388.93