Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $501.19 / $501.19	Facility		$117.49	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $223.87	Professional		$114.82	$141.25	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $602.56 / $933.25	Facility		$257.04	$602.56	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $338.84	Professional		$131.83	$208.93	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $457.09	Facility		$186.21	$186.21	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $302.00	Professional		$134.90	$134.90	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $457.09	Professional		$177.83	$257.04	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $194.98	Facility		$77.62	$123.03	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $218.78	Professional		$83.18	$125.89	$218.78