Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $284.75	Facility		$84.49	$84.49	$284.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $176.24	Professional		$84.48	$84.49	$176.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.06 / $96.54 / $103.54	Facility		$82.06	$96.54	$103.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $94.43 / $124.00	Professional		$82.83	$94.43	$124.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $86.98 / $170.47	Facility		$84.49	$86.98	$170.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $77.79 / $135.33	Professional		$2.13	$77.79	$135.33
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $130.53 / $130.53	Professional		$82.83	$130.53	$130.53