Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $275.82	Facility		$73.68	$73.68	$275.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $87.54 / $132.09	Professional		$73.68	$87.54	$132.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $216.27 / $566.94	Facility		$154.47	$216.27	$566.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $128.63 / $286.85	Professional		$14.68	$128.63	$286.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $111.31 / $249.02	Facility		$12.95	$111.31	$249.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $98.48 / $131.31	Professional		$13.13	$98.48	$131.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.86 / $123.50 / $123.50	Facility		$117.86	$123.50	$123.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $123.50 / $179.25	Professional		$104.98	$123.50	$179.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $154.47 / $169.93	Professional		$29.85	$154.47	$169.93
United Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $112.79 / $179.29	Professional		$61.16	$112.79	$179.29