Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $257.04	Facility		$100.00	$100.00	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $186.21	Professional		$89.13	$107.15	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $512.86 / $794.33	Facility		$213.80	$512.86	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $169.82 / $263.03	Professional		$64.57	$169.82	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $331.13	Facility		$147.91	$147.91	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $245.47	Professional		$109.65	$109.65	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $295.12	Professional		$141.25	$213.80	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $91.20 / $125.89	Facility		$58.88	$91.20	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $181.97	Professional		$70.79	$102.33	$181.97