Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.45 / $168.45 / $5,934.00	Facility		$168.45	$168.45	$5,934.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.45 / $242.57 / $300.97	Professional		$168.45	$242.57	$300.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.59 / $336.22 / $645.54	Professional		$215.59	$336.22	$645.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $343.71 / $458.29 / $792.57	Facility		$343.71	$458.29	$792.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $343.71 / $343.71 / $343.71	Professional		$343.71	$343.71	$343.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Facility		$252.68	$252.68	$252.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $558.15	Professional		$194.10	$194.10	$558.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.32 / $404.37 / $734.73	Professional		$307.32	$404.37	$734.73
United Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $201.73 / $332.82	Professional		$134.49	$201.73	$332.82