Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $109.35 / $171.05	Facility		$79.09	$109.35	$171.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $105.91 / $190.66	Professional		$69.30	$105.91	$190.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $111.67 / $197.36	Professional		$76.28	$111.67	$197.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.54 / $160.10 / $221.82	Facility		$134.54	$160.10	$221.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.66 / $130.86 / $2,500.00	Facility		$79.66	$130.86	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $133.94 / $222.04	Professional		$86.72	$133.94	$222.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $133.00 / $266.72	Professional		$91.20	$133.00	$266.72
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,665.00	Facility		$384.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $133.47 / $242.42	Professional		$93.05	$133.47	$242.42