Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $104.67 / $261.95	Facility		$100.67	$104.67	$261.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $110.69 / $142.72	Professional		$104.67	$110.69	$142.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $119.74 / $128.43	Facility		$101.78	$119.74	$128.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $100.80 / $100.80	Professional		$100.80	$100.80	$100.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $107.75 / $211.19	Facility		$104.67	$107.75	$211.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Facility		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $70.84 / $99.59	Professional		$8.52	$70.84	$99.59
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $123.14 / $128.43	Professional		$102.74	$123.14	$128.43