Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $79.48 / $274.91	Facility		$79.48	$79.48	$274.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $94.34 / $141.97	Professional		$79.48	$94.34	$141.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.48 / $242.87 / $636.66	Facility		$173.48	$242.87	$636.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $135.31 / $309.50	Professional		$13.91	$135.31	$309.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $110.59 / $279.66	Facility		$14.61	$110.59	$279.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $110.59 / $147.46	Professional		$14.75	$110.59	$147.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $145.00	Facility		$120.30	$120.30	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $196.50	Professional		$102.26	$120.30	$196.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $173.48 / $206.23	Professional		$27.72	$173.48	$206.23
United Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $112.41 / $232.73	Professional		$70.05	$112.41	$232.73