Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $295.12	Facility		$114.82	$114.82	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $213.80	Professional		$85.11	$114.82	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $575.44 / $891.25	Facility		$245.47	$575.44	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $302.00	Professional		$109.65	$199.53	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $323.59	Facility		$117.49	$117.49	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $239.88	Professional		$85.11	$85.11	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $338.84	Professional		$134.90	$245.47	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $87.10 / $120.23	Facility		$56.23	$87.10	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $208.93	Professional		$74.13	$114.82	$208.93