Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $239.88	Facility		$91.20	$91.20	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $173.78	Professional		$85.11	$112.20	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $467.74 / $724.44	Facility		$199.53	$467.74	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $257.04	Professional		$104.71	$162.18	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $338.84	Facility		$120.23	$120.23	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $239.88	Professional		$87.10	$87.10	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $288.40	Professional		$138.04	$199.53	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $93.33 / $128.82	Facility		$60.26	$93.33	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $190.55	Professional		$64.57	$97.72	$190.55