Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $575.44	Facility		$194.98	$194.98	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $398.11	Professional		$194.98	$234.42	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,148.15 / $1,778.28	Facility		$478.63	$1,148.15	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $588.84	Professional		$257.04	$389.05	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $741.31	Facility		$295.12	$295.12	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $549.54	Professional		$213.80	$213.80	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $794.33	Professional		$316.23	$478.63	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $331.13	Facility		$162.18	$316.23	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $457.09	Professional		$158.49	$234.42	$457.09