Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $436.52	Facility		$151.36	$151.36	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $316.23	Professional		$151.36	$190.55	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $467.74	Professional		$190.55	$302.00	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $549.54	Facility		$302.00	$302.00	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $436.52	Professional		$257.04	$257.04	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $630.96	Professional		$257.04	$371.54	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $239.88 / $263.03	Facility		$131.83	$239.88	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $309.03	Professional		$120.23	$177.83	$309.03