Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $229.49 / $612.08	Facility		$133.47	$229.49	$612.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $137.91 / $234.60	Professional		$130.80	$137.91	$234.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $155.56 / $489.83	Facility		$133.47	$155.56	$489.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $120.12 / $120.12	Professional		$96.09	$120.12	$120.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $133.47 / $261.60	Facility		$133.47	$133.47	$261.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Facility		$131.13	$131.13	$131.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Professional		$131.13	$131.13	$131.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $53.31 / $146.82	Professional		$41.14	$53.31	$146.82
United Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $140.50 / $146.35	Professional		$117.08	$140.50	$146.35