Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $131.40 / $156.97	Facility		$128.65	$131.40	$156.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $156.97 / $184.68	Professional		$108.62	$156.97	$184.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $179.37 / $192.38	Facility		$152.47	$179.37	$192.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $149.50 / $149.50	Professional		$119.60	$149.50	$149.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.83 / $169.68 / $332.57	Facility		$164.83	$169.68	$332.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $58.80 / $67.25	Professional		$2.13	$58.80	$67.25
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $153.90 / $192.38	Professional		$149.63	$153.90	$192.38