Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.37 / $106.37 / $284.11	Facility		$106.37	$106.37	$284.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $106.37 / $148.75	Professional		$84.77	$106.37	$148.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $159.94 / $205.11	Facility		$20.23	$159.94	$205.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $9.64 / $159.94	Professional		$7.23	$9.64	$159.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $223.93 / $343.78	Facility		$103.97	$223.93	$343.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.60 / $351.89 / $443.87	Facility		$251.60	$351.89	$443.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $194.94 / $243.68	Professional		$183.79	$194.94	$243.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.95 / $183.94 / $207.94	Professional		$175.95	$183.94	$207.94
United Facility/Professional Facility Modifier Low / Median / High Price $87.97 / $87.97 / $87.97	Facility		$87.97	$87.97	$87.97
United Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $95.97 / $159.94	Professional		$70.38	$95.97	$159.94