Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.34 / $187.34 / $530.66	Facility		$187.34	$187.34	$530.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $240.00 / $299.74	Professional		$187.34	$240.00	$299.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.71 / $629.59 / $1,650.44	Facility		$449.71	$629.59	$1,650.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $373.92 / $717.93	Professional		$243.00	$373.92	$717.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.11 / $382.25 / $831.96	Facility		$371.11	$382.25	$831.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.25 / $382.25 / $382.25	Professional		$382.25	$382.25	$382.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $318.35	Facility		$318.35	$318.35	$318.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $518.63	Professional		$232.40	$232.40	$518.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.78 / $449.71 / $896.00	Professional		$341.78	$449.71	$896.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $224.35 / $447.32	Professional		$180.00	$224.35	$447.32