Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $319.58 / $827.58	Facility		$169.96	$319.58	$827.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $169.96 / $229.45	Professional		$151.33	$169.96	$229.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.20 / $194.35 / $208.44	Facility		$165.20	$194.35	$208.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $170.09 / $170.09	Professional		$170.09	$170.09	$170.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $174.96 / $342.91	Facility		$169.96	$174.96	$342.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $104.71 / $134.41	Professional		$40.52	$104.71	$134.41
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $199.95 / $208.44	Professional		$166.75	$199.95	$208.44