Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.08 / $194.25 / $562.87	Facility		$118.08	$194.25	$562.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $142.05 / $168.68	Professional		$106.54	$142.05	$168.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.63 / $192.81 / $614.36	Facility		$115.63	$192.81	$614.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $71.02 / $233.39	Professional		$53.26	$71.02	$233.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.34 / $177.56 / $284.10	Facility		$160.34	$177.56	$284.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.05 / $390.63 / $492.79	Facility		$177.05	$390.63	$492.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $216.41 / $270.51	Professional		$80.83	$216.41	$270.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.02 / $204.19 / $267.51	Professional		$194.02	$204.19	$267.51
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $97.66 / $372.88	Professional		$74.58	$97.66	$372.88