Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $371.54	Facility		$125.89	$125.89	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $257.04	Professional		$125.89	$151.36	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $741.31 / $1,148.15	Facility		$316.23	$741.31	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $389.05	Professional		$165.96	$257.04	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $489.78	Facility		$169.82	$169.82	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $354.81	Professional		$144.54	$144.54	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $512.86	Professional		$204.17	$316.23	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $213.80	Facility		$112.20	$204.17	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $263.03	Professional		$102.33	$151.36	$263.03