Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $102.99 / $244.64	Facility		$102.99	$102.99	$244.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $129.47 / $167.28	Professional		$101.90	$129.47	$167.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.86 / $303.60 / $795.88	Facility		$216.86	$303.60	$795.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $180.32 / $346.21	Professional		$115.62	$180.32	$346.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.33 / $202.10 / $401.19	Facility		$184.33	$202.10	$401.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $184.33 / $184.33	Professional		$184.33	$184.33	$184.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $135.51	Facility		$135.51	$135.51	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $262.88	Professional		$98.92	$135.51	$262.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $216.86 / $393.49	Professional		$164.81	$216.86	$393.49
United Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $108.19 / $178.49	Professional		$72.13	$108.19	$178.49