Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $224.35 / $333.90	Facility		$105.33	$224.35	$333.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $125.40	Professional		$105.33	$105.33	$125.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $19.14 / $115.92	Facility		$9.13	$19.14	$115.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $6.00 / $71.64	Professional		$4.50	$6.00	$71.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $111.45 / $171.11	Facility		$79.61	$111.45	$171.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $71.66 / $92.82	Facility		$58.00	$71.66	$92.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $105.32 / $131.65	Professional		$42.19	$105.32	$131.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $113.05 / $171.00	Professional		$91.55	$113.05	$171.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $63.10 / $117.11	Professional		$44.17	$63.10	$117.11