Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.69 / $229.43 / $470.46	Facility		$98.69	$229.43	$470.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $118.73 / $265.49	Professional		$98.69	$118.73	$265.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $189.61 / $513.50	Facility		$107.12	$189.61	$513.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $73.29 / $297.48	Professional		$54.96	$73.29	$297.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $148.41 / $237.46	Facility		$99.00	$148.41	$237.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $326.50 / $457.66	Facility		$131.44	$326.50	$457.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $180.89 / $226.11	Professional		$78.67	$180.89	$226.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $192.93 / $533.35	Professional		$162.16	$192.93	$533.35
United Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $108.36 / $207.40	Professional		$66.78	$108.36	$207.40