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 $143.85 / $249.66 / $347.80	Professional		$143.85	$249.66	$347.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $350.10 / $827.09	Professional		$20.14	$350.10	$827.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $68.31 / $104.84	Facility		$39.03	$68.31	$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 $38.00 / $38.00 / $64.00	Facility		$38.00	$38.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Professional		$66.81	$66.81	$66.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $68.25 / $70.30	Professional		$68.25	$68.25	$70.30
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $21.58 / $46.54	Professional		$15.81	$21.58	$46.54