Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.13 / $210.13 / $237.18	Facility		$210.13	$210.13	$237.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $265.14 / $379.76	Professional		$210.13	$265.14	$379.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $362.40 / $827.09	Professional		$37.44	$362.40	$827.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $67.69 / $104.84	Facility		$39.03	$67.69	$104.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $41.47 / $53.68	Professional		$39.68	$41.47	$53.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $43.07 / $43.07	Facility		$43.07	$43.07	$43.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $558.75 / $698.44	Professional		$34.33	$558.75	$698.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $98.34 / $98.34	Professional		$98.34	$98.34	$98.34
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $25.15 / $54.11	Professional		$15.81	$25.15	$54.11