Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $239.88	Facility		$93.33	$93.33	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $173.78	Professional		$83.18	$100.00	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $478.63 / $741.31	Facility		$199.53	$478.63	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $245.47	Professional		$104.71	$162.18	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $309.03	Facility		$112.20	$112.20	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $223.87	Professional		$81.28	$81.28	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $354.81	Professional		$128.82	$199.53	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $85.11 / $117.49	Facility		$54.95	$85.11	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $169.82	Professional		$64.57	$95.50	$169.82