Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $126.96 / $409.98	Facility		$76.80	$126.96	$409.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $103.46 / $152.34	Professional		$77.59	$103.46	$152.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.22 / $140.44 / $447.48	Facility		$84.22	$140.44	$447.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $51.73 / $159.50	Professional		$38.79	$51.73	$159.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.15 / $129.33 / $206.93	Facility		$82.15	$129.33	$206.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $228.09 / $284.52	Facility		$69.55	$228.09	$284.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $157.77 / $197.21	Professional		$48.46	$157.77	$197.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.32 / $168.13 / $246.86	Professional		$141.32	$168.13	$246.86
United Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $60.21 / $145.51	Professional		$46.03	$60.21	$145.51