Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.08 / $150.08 / $425.12	Facility		$150.08	$150.08	$425.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.08 / $204.67 / $240.12	Professional		$150.08	$204.67	$240.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.76 / $299.55 / $575.14	Professional		$189.76	$299.55	$575.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.23 / $333.46 / $666.50	Facility		$306.23	$333.46	$666.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.23 / $306.23 / $306.23	Professional		$306.23	$306.23	$306.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $435.38	Professional		$257.41	$257.41	$435.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.81 / $360.27 / $619.54	Professional		$273.81	$360.27	$619.54
United Facility/Professional Facility Modifier Low / Median / High Price $104.79 / $224.66 / $256.16	Facility		$104.79	$224.66	$256.16
United Facility/Professional Professional Modifier Low / Median / High Price $133.12 / $179.73 / $296.52	Professional		$133.12	$179.73	$296.52