Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $218.73 / $663.54	Facility		$139.19	$218.73	$663.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $167.46 / $251.40	Professional		$125.59	$167.46	$251.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.99 / $227.30 / $724.25	Facility		$138.99	$227.30	$724.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $83.73 / $293.04	Professional		$62.79	$83.73	$293.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $209.32 / $334.91	Facility		$134.19	$209.32	$334.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $369.00 / $460.50	Facility		$117.00	$369.00	$460.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $255.23 / $319.04	Professional		$83.57	$255.23	$319.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.73 / $272.12 / $474.15	Professional		$228.73	$272.12	$474.15
United Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $115.13 / $279.44	Professional		$87.15	$115.13	$279.44