Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.50 / $271.89 / $271.89	Facility		$121.50	$271.89	$271.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $74.62 / $91.54	Professional		$50.51	$74.62	$91.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.86 / $105.42 / $348.62	Facility		$55.86	$105.42	$348.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $45.77 / $102.98	Professional		$34.32	$45.77	$102.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $114.43 / $183.09	Facility		$59.01	$114.43	$183.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $251.75 / $251.75	Facility		$111.50	$251.75	$251.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $130.61 / $164.68	Professional		$60.65	$130.61	$164.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $131.59 / $148.76	Professional		$125.87	$131.59	$148.76
United Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $53.37 / $114.43	Professional		$40.04	$53.37	$114.43