Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $234.42	Facility		$67.61	$67.61	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $120.23	Professional		$67.61	$87.10	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $446.68 / $537.03	Facility		$144.54	$446.68	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $107.15 / $199.53	Professional		$13.18	$107.15	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $91.20 / $128.82	Facility		$12.02	$91.20	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $91.20 / $120.23	Professional		$12.02	$91.20	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $158.49	Professional		$81.28	$95.50	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $144.54 / $158.49	Professional		$30.90	$144.54	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $64.57 / $107.15	Facility		$8.71	$64.57	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $173.78	Professional		$67.61	$104.71	$173.78