Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $214.44 / $382.68	Facility		$47.02	$214.44	$382.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $61.08 / $102.61	Professional		$61.08	$61.08	$102.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.62 / $146.63 / $417.69	Facility		$78.62	$146.63	$417.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $59.61 / $184.79	Professional		$44.70	$59.61	$184.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.82 / $120.72 / $193.15	Facility		$103.82	$120.72	$193.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.09 / $265.58 / $371.98	Facility		$111.09	$265.58	$371.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.47 / $166.88	Professional		$63.47	$63.47	$166.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $132.79 / $783.00	Professional		$120.72	$132.79	$783.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $54.32 / $248.61	Professional		$30.09	$54.32	$248.61