Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $194.98	Facility		$66.07	$66.07	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $147.91	Professional		$66.07	$89.13	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $389.05 / $602.56	Facility		$162.18	$389.05	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $218.78	Professional		$85.11	$131.83	$218.78
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 / $288.40	Facility		$100.00	$100.00	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $186.21	Professional		$72.44	$72.44	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $223.87	Professional		$114.82	$162.18	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $112.20 / $125.89	Facility		$61.66	$112.20	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $154.88	Professional		$52.48	$79.43	$154.88