Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $535.71 / $1,024.48	Facility		$186.21	$535.71	$1,024.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $235.15 / $297.94	Professional		$186.21	$235.15	$297.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.00 / $625.79 / $1,640.49	Facility		$447.00	$625.79	$1,640.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.76 / $371.68 / $713.63	Professional		$253.76	$371.68	$713.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $368.82 / $379.95 / $826.95	Facility		$368.82	$379.95	$826.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $379.95 / $379.95 / $379.95	Professional		$379.95	$379.95	$379.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $530.47	Professional		$209.36	$209.36	$530.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.72 / $447.00 / $991.00	Professional		$339.72	$447.00	$991.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $223.01 / $444.59	Professional		$178.90	$223.01	$444.59