Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.87 / $80.87 / $205.27	Facility		$80.87	$80.87	$205.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $80.87 / $115.60	Professional		$71.97	$80.87	$115.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.52 / $186.93 / $490.02	Facility		$133.52	$186.93	$490.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $156.88 / $342.28	Professional		$39.00	$156.88	$342.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.35 / $133.52 / $260.94	Facility		$96.35	$133.52	$260.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $113.49 / $113.49	Professional		$113.49	$113.49	$113.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $151.88	Professional		$38.08	$38.08	$151.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $133.52 / $297.00	Professional		$101.48	$133.52	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $106.96 / $169.53	Professional		$71.31	$106.96	$169.53