Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.93 / $95.93 / $227.88	Facility		$95.93	$95.93	$227.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $99.99 / $134.63	Professional		$76.83	$99.99	$134.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.01 / $282.81 / $741.38	Facility		$202.01	$282.81	$741.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $167.97 / $322.50	Professional		$92.70	$167.97	$322.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.77 / $171.71 / $373.72	Facility		$142.77	$171.71	$373.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $171.71 / $171.71	Professional		$171.71	$171.71	$171.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $118.37 / $202.51	Professional		$96.83	$118.37	$202.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $202.01 / $281.07	Professional		$153.53	$202.01	$281.07
United Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $95.90 / $166.27	Professional		$67.19	$95.90	$166.27