Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $126.02 / $600.75	Facility		$58.44	$126.02	$600.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $151.61 / $216.84	Professional		$58.24	$151.61	$216.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $205.79 / $655.70	Facility		$75.80	$205.79	$655.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $75.80 / $170.55	Professional		$56.85	$75.80	$170.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.27 / $189.51 / $303.22	Facility		$123.27	$189.51	$303.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $298.10 / $416.92	Facility		$58.00	$298.10	$416.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $230.87 / $288.58	Professional		$37.11	$230.87	$288.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.85 / $217.94 / $285.52	Professional		$187.85	$217.94	$285.52
United Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $66.33 / $158.79	Professional		$30.68	$66.33	$158.79