Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $691.83	Facility		$128.82	$173.78	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $186.21	Professional		$128.82	$154.88	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $229.09 / $251.19	Facility		$91.20	$229.09	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $141.25	Professional		$45.71	$45.71	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $588.84	Facility		$316.23	$537.03	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $354.81	Professional		$131.83	$281.84	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $323.59	Professional		$269.15	$281.84	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $173.78 / $204.17	Facility		$123.03	$173.78	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $323.59	Professional		$87.10	$117.49	$323.59