Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.97 / $98.16 / $215.31	Facility		$49.97	$98.16	$215.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $98.16 / $147.24	Professional		$81.83	$98.16	$147.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $114.41 / $360.25	Facility		$98.16	$114.41	$360.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $75.14 / $75.14	Professional		$75.14	$75.14	$75.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $192.39	Facility		$98.16	$98.16	$192.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $134.00 / $187.00	Professional		$59.53	$134.00	$187.00
United Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $229.60 / $229.60	Facility		$88.50	$229.60	$229.60
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $103.33 / $107.79	Professional		$86.23	$103.33	$107.79