Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $167.36 / $589.20	Facility		$82.42	$167.36	$589.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $84.15 / $151.12	Professional		$81.17	$84.15	$151.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $89.60 / $89.60	Facility		$82.58	$89.60	$89.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $94.43 / $124.00	Professional		$80.19	$94.43	$124.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $82.58 / $161.86	Facility		$82.58	$82.58	$161.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $77.90 / $82.57	Facility		$77.90	$77.90	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $125.51 / $125.51	Professional		$79.48	$125.51	$125.51
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $126.35	Professional		$82.58	$82.58	$126.35