Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $247.68 / $524.98	Facility		$110.13	$247.68	$524.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $132.49 / $240.14	Professional		$104.54	$132.49	$240.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.76 / $179.84 / $573.01	Facility		$110.76	$179.84	$573.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $66.72 / $240.16	Professional		$50.04	$66.72	$240.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.63 / $165.61 / $264.98	Facility		$110.63	$165.61	$264.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.22 / $343.26 / $497.57	Facility		$115.22	$343.26	$497.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $201.96 / $252.45	Professional		$85.24	$201.96	$252.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $215.29 / $396.99	Professional		$180.97	$215.29	$396.99
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $96.80 / $233.94	Professional		$69.56	$96.80	$233.94