Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $223.87	Facility		$85.11	$85.11	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $162.18	Professional		$85.11	$107.15	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $676.08	Facility		$186.21	$436.52	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $245.47	Professional		$97.72	$151.36	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $323.59	Facility		$112.20	$112.20	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $223.87	Professional		$81.28	$81.28	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $331.13	Professional		$128.82	$186.21	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $120.23	Facility		$56.23	$89.13	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $177.83	Professional		$60.26	$91.20	$177.83