Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.78 / $127.78 / $361.94	Facility		$127.78	$127.78	$361.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $163.66 / $204.44	Professional		$127.78	$163.66	$204.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $429.42 / $1,125.70	Facility		$306.73	$429.42	$1,125.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.52 / $255.04 / $489.68	Professional		$163.52	$255.04	$489.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.08 / $260.72 / $567.45	Facility		$253.08	$260.72	$567.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.72 / $260.72 / $260.72	Professional		$260.72	$260.72	$260.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $170.29	Facility		$170.29	$170.29	$170.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $353.63	Professional		$144.75	$144.75	$353.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.11 / $306.73 / $494.80	Professional		$233.11	$306.73	$494.80
United Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $153.02 / $252.45	Professional		$113.30	$153.02	$252.45