Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.85 / $156.85 / $444.28	Facility		$156.85	$156.85	$444.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.85 / $222.72 / $316.50	Professional		$156.85	$222.72	$316.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $313.06 / $601.08	Professional		$200.73	$313.06	$601.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $311.37 / $335.94 / $696.54	Facility		$311.37	$335.94	$696.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.02 / $320.02 / $320.02	Professional		$320.02	$320.02	$320.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $228.90	Facility		$228.90	$228.90	$228.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $434.89	Professional		$194.57	$194.57	$434.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.14 / $376.51 / $665.42	Professional		$286.14	$376.51	$665.42
United Facility/Professional Professional Modifier Low / Median / High Price $163.52 / $187.84 / $368.49	Professional		$163.52	$187.84	$368.49