Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $602.56	Facility		$117.49	$275.42	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $177.83	Professional		$117.49	$141.25	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $234.42	Facility		$114.82	$194.98	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $218.78	Professional		$70.79	$91.20	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $346.74 / $537.03	Facility		$177.83	$346.74	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $218.78 / $269.15	Professional		$81.28	$218.78	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $338.84	Professional		$194.98	$204.17	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $158.49 / $177.83	Facility		$97.72	$158.49	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $229.09	Professional		$74.13	$91.20	$229.09