Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.04 / $189.54 / $903.55	Facility		$113.04	$189.54	$903.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $225.17 / $270.77	Professional		$171.02	$225.17	$270.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.78 / $309.52 / $986.20	Facility		$138.78	$309.52	$986.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $114.01 / $256.52	Professional		$85.50	$114.01	$256.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.68 / $285.02 / $456.05	Facility		$160.68	$285.02	$456.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $448.35 / $627.07	Facility		$89.41	$448.35	$627.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $347.33 / $434.16	Professional		$59.61	$347.33	$434.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.45 / $363.35 / $429.43	Professional		$311.45	$363.35	$429.43
United Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $119.71 / $285.02	Professional		$67.81	$119.71	$285.02