Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $274.39 / $472.20	Facility		$99.06	$274.39	$472.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $99.06 / $141.21	Professional		$99.06	$99.06	$141.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.74 / $162.36 / $605.48	Facility		$90.74	$162.36	$605.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $45.77 / $156.41	Professional		$36.61	$45.77	$156.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.74 / $288.17 / $427.15	Facility		$198.74	$288.17	$427.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.53 / $375.06 / $459.76	Facility		$222.53	$375.06	$459.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $766.31 / $766.31	Professional		$96.83	$766.31	$766.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $354.78 / $691.46	Professional		$178.87	$354.78	$691.46
United Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $89.38 / $347.89	Professional		$67.03	$89.38	$347.89