Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $229.09	Facility		$89.13	$89.13	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $169.82	Professional		$83.18	$100.00	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $457.09 / $707.95	Facility		$190.55	$457.09	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $239.88	Professional		$100.00	$154.88	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $316.23	Facility		$109.65	$109.65	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $218.78	Professional		$81.28	$81.28	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $263.03	Professional		$131.83	$190.55	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $117.49	Facility		$54.95	$87.10	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $181.97	Professional		$63.10	$91.20	$181.97