Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.01 / $117.01 / $117.01	Facility		$117.01	$117.01	$117.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.01 / $139.34 / $212.00	Professional		$117.01	$139.34	$212.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $194.57 / $455.59	Professional		$22.14	$194.57	$455.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $35.90 / $288.83	Facility		$21.79	$35.90	$288.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Professional		$21.79	$21.79	$21.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $178.86 / $178.86	Facility		$156.88	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $152.03 / $379.69	Professional		$20.14	$152.03	$379.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $252.49 / $726.00	Professional		$50.12	$252.49	$726.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $149.79 / $270.35	Professional		$93.47	$149.79	$270.35