Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $97.71 / $232.10	Facility		$97.71	$97.71	$232.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $123.42 / $173.71	Professional		$92.83	$123.42	$173.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.74 / $288.04 / $755.07	Facility		$205.74	$288.04	$755.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $171.08 / $328.47	Professional		$109.69	$171.08	$328.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.88 / $211.62 / $380.62	Facility		$174.88	$211.62	$380.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.88 / $174.88 / $174.88	Professional		$174.88	$174.88	$174.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $272.89	Professional		$104.35	$142.94	$272.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $205.74 / $302.05	Professional		$156.36	$205.74	$302.05
United Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $102.65 / $169.34	Professional		$68.43	$102.65	$169.34