Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.53 / $505.72 / $505.77	Facility		$118.53	$505.72	$505.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $149.72 / $206.06	Professional		$118.53	$149.72	$206.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.59 / $349.43 / $916.00	Facility		$249.59	$349.43	$916.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $207.53 / $398.46	Professional		$133.07	$207.53	$398.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.15 / $243.88 / $461.74	Facility		$212.15	$243.88	$461.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.15 / $212.15 / $212.15	Professional		$212.15	$212.15	$212.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $185.61	Facility		$185.61	$185.61	$185.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $181.62 / $332.63	Professional		$135.50	$181.62	$332.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.69 / $249.59 / $453.21	Professional		$189.69	$249.59	$453.21
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $124.52 / $205.42	Professional		$83.01	$124.52	$205.42