Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.85 / $262.73 / $452.14	Facility		$94.85	$262.73	$452.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $121.24 / $136.91	Professional		$94.85	$121.24	$136.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $142.63 / $434.54	Facility		$41.75	$142.63	$434.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $19.88 / $205.39	Professional		$15.90	$19.88	$205.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $206.81 / $306.55	Facility		$142.63	$206.81	$306.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.42 / $313.79 / $439.92	Facility		$185.42	$313.79	$439.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $802.52 / $802.52	Professional		$114.10	$802.52	$802.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $185.42 / $1,112.38	Professional		$128.37	$185.42	$1,112.38
United Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $128.37 / $128.37	Facility		$128.37	$128.37	$128.37
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $249.67	Professional		$59.90	$85.58	$249.67