Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $263.03	Facility		$102.33	$102.33	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $194.98	Professional		$100.00	$114.82	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $524.81 / $812.83	Facility		$218.78	$524.81	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $295.12	Professional		$114.82	$181.97	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $398.11	Facility		$134.90	$134.90	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $263.03	Professional		$100.00	$100.00	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $398.11	Professional		$154.88	$218.78	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $107.15 / $144.54	Facility		$67.61	$107.15	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $204.17	Professional		$72.44	$107.15	$204.17