Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.27 / $219.27 / $3,205.28	Facility		$219.27	$219.27	$3,205.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.27 / $284.26 / $350.83	Professional		$219.27	$284.26	$350.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $437.66 / $840.31	Professional		$276.89	$437.66	$840.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.74 / $447.42 / $973.80	Facility		$446.74	$447.42	$973.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $447.42 / $447.42 / $447.42	Professional		$447.42	$447.42	$447.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $420.61	Facility		$420.61	$420.61	$420.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $357.52 / $609.38	Professional		$357.52	$357.52	$609.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.05 / $526.38 / $859.50	Professional		$400.05	$526.38	$859.50
United Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $262.60 / $433.24	Professional		$175.06	$262.60	$433.24