Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $147.62 / $362.74	Facility		$76.09	$147.62	$362.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $99.55 / $109.85	Professional		$76.09	$99.55	$109.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $114.43 / $348.62	Facility		$75.98	$114.43	$348.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.77 / $183.08	Professional		$38.90	$45.77	$183.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $165.92 / $245.93	Facility		$114.43	$165.92	$245.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.95 / $251.75 / $353.19	Facility		$170.95	$251.75	$353.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $644.76 / $644.76	Professional		$66.94	$644.76	$644.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $204.55 / $892.06	Professional		$102.99	$204.55	$892.06
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $207.93	Professional		$48.06	$68.66	$207.93