Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $194.98	Facility		$74.13	$74.13	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $141.25	Professional		$66.07	$79.43	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $380.19 / $588.84	Facility		$162.18	$380.19	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $199.53	Professional		$85.11	$131.83	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $251.19	Facility		$100.00	$100.00	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $181.97	Professional		$72.44	$72.44	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $218.78	Professional		$104.71	$162.18	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $69.18 / $93.33	Facility		$43.65	$69.18	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $138.04	Professional		$52.48	$77.62	$138.04