Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.93 / $67.93 / $161.36	Facility		$67.93	$67.93	$161.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $85.80 / $106.97	Professional		$67.93	$85.80	$106.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $200.26 / $524.96	Facility		$143.04	$200.26	$524.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $118.93 / $228.35	Professional		$76.26	$118.93	$228.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $159.21 / $264.62	Facility		$121.58	$159.21	$264.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $121.58 / $121.58	Professional		$121.58	$121.58	$121.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $89.11	Facility		$89.11	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $187.73	Professional		$65.05	$89.11	$187.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $143.04 / $254.86	Professional		$108.71	$143.04	$254.86
United Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $71.36 / $159.19	Professional		$47.57	$71.36	$159.19