Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $236.73	Facility		$99.66	$99.66	$236.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $112.69 / $145.04	Professional		$94.41	$112.69	$145.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.86 / $293.80 / $770.19	Facility		$209.86	$293.80	$770.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $174.49 / $335.02	Professional		$111.88	$174.49	$335.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.90 / $178.38 / $388.24	Facility		$174.90	$178.38	$388.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.38 / $178.38 / $178.38	Professional		$178.38	$178.38	$178.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $147.05	Facility		$147.05	$147.05	$147.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $250.90	Professional		$107.35	$107.35	$250.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $209.86 / $291.45	Professional		$159.49	$209.86	$291.45
United Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $104.69 / $172.73	Professional		$69.80	$104.69	$172.73