Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.88 / $164.88 / $467.04	Facility		$164.88	$164.88	$467.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $234.13 / $263.81	Professional		$164.88	$234.13	$263.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.80 / $554.12 / $1,452.59	Facility		$395.80	$554.12	$1,452.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.69 / $350.71 / $647.13	Professional		$258.69	$350.71	$647.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.35 / $358.66 / $732.23	Facility		$330.35	$358.66	$732.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.43 / $336.43 / $336.43	Professional		$336.43	$336.43	$336.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $331.51	Facility		$277.45	$277.45	$331.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $267.08 / $489.00	Professional		$202.54	$267.08	$489.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.81 / $395.80 / $678.00	Professional		$300.81	$395.80	$678.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $197.46 / $342.07	Professional		$147.91	$197.46	$342.07