Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.99 / $104.99 / $249.38	Facility		$104.99	$104.99	$249.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $109.42 / $147.35	Professional		$84.28	$109.42	$147.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $309.50 / $811.33	Facility		$221.07	$309.50	$811.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.61 / $183.82 / $352.93	Professional		$105.61	$183.82	$352.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.28 / $187.91 / $408.98	Facility		$171.28	$187.91	$408.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $187.91 / $187.91	Professional		$187.91	$187.91	$187.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $144.01	Facility		$144.01	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $133.58 / $231.63	Professional		$105.13	$133.58	$231.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $221.07 / $324.02	Professional		$168.01	$221.07	$324.02
United Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $104.15 / $181.96	Professional		$73.53	$104.15	$181.96