Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.06 / $115.06 / $307.36	Facility		$115.06	$115.06	$307.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $134.96 / $160.91	Professional		$91.71	$134.96	$160.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.77 / $190.33 / $306.26	Facility		$129.77	$190.33	$306.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $228.00 / $304.00	Professional		$138.41	$228.00	$304.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $242.24 / $371.88	Facility		$173.03	$242.24	$371.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.18 / $380.67 / $480.56	Facility		$272.18	$380.67	$480.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $211.04 / $263.80	Professional		$199.07	$211.04	$263.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $198.98 / $224.94	Professional		$190.33	$198.98	$224.94
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $103.82 / $173.03	Professional		$72.67	$103.82	$173.03