Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.22 / $1,314.48 / $33,039.29	Facility		$151.22	$1,314.48	$33,039.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $206.95 / $241.96	Professional		$151.22	$206.95	$241.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $301.85 / $579.54	Professional		$186.42	$301.85	$579.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.56 / $348.71 / $671.57	Facility		$308.56	$348.71	$671.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.56 / $308.56 / $308.56	Professional		$308.56	$308.56	$308.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $412.19	Professional		$233.13	$233.13	$412.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $363.01 / $577.74	Professional		$275.89	$363.01	$577.74
United Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $181.11 / $298.80	Professional		$120.74	$181.11	$298.80