Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.00 / $124.00 / $294.54	Facility		$124.00	$124.00	$294.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $139.34 / $194.18	Professional		$117.47	$139.34	$194.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.10 / $365.54 / $958.24	Facility		$261.10	$365.54	$958.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $217.11 / $416.85	Professional		$135.85	$217.11	$416.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.44 / $221.94 / $483.04	Facility		$215.44	$221.94	$483.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.94 / $221.94 / $221.94	Professional		$221.94	$221.94	$221.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $310.04	Professional		$122.64	$122.64	$310.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $261.10 / $362.86	Professional		$198.44	$261.10	$362.86
United Facility/Professional Professional Modifier Low / Median / High Price $86.84 / $130.27 / $214.91	Professional		$86.84	$130.27	$214.91