Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.14 / $165.67 / $289.85	Facility		$100.14	$165.67	$289.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $100.14 / $126.46	Professional		$76.69	$100.14	$126.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $110.96 / $119.00	Facility		$94.31	$110.96	$119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $97.10 / $97.10	Professional		$77.68	$97.10	$97.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $99.57 / $195.15	Facility		$96.72	$99.57	$195.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Facility		$106.62	$106.62	$106.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $50.78 / $66.11	Professional		$32.00	$50.78	$66.11
United Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $97.11 / $97.11	Facility		$97.11	$97.11	$97.11
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $115.46 / $133.86	Professional		$96.60	$115.46	$133.86