Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $92.19 / $218.98	Facility		$92.19	$92.19	$218.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $103.59 / $146.16	Professional		$87.33	$103.59	$146.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.12 / $271.77 / $712.42	Facility		$194.12	$271.77	$712.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $161.41 / $309.91	Professional		$101.01	$161.41	$309.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.18 / $165.00 / $359.12	Facility		$160.18	$165.00	$359.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $223.88	Professional		$78.68	$107.78	$223.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $194.12 / $269.44	Professional		$117.51	$194.12	$269.44
United Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $85.28 / $95.54	Facility		$53.04	$85.28	$95.54
United Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $95.54 / $159.78	Professional		$64.56	$95.54	$159.78