Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Facility		$98.16	$98.16	$98.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $98.16 / $134.80	Professional		$96.01	$98.16	$134.80
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 $70.36 / $87.95 / $87.95	Professional		$70.36	$87.95	$87.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $98.16 / $210.97	Facility		$42.75	$98.16	$210.97
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 $36.34 / $143.00 / $183.00	Professional		$36.34	$143.00	$183.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $103.33 / $122.70	Professional		$98.16	$103.33	$122.70