Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $90.71 / $256.93	Facility		$90.71	$90.71	$256.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $128.80 / $183.03	Professional		$90.71	$128.80	$183.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.74 / $304.83 / $799.11	Facility		$217.74	$304.83	$799.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $181.05 / $347.62	Professional		$116.09	$181.05	$347.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.08 / $217.74 / $426.77	Facility		$185.08	$217.74	$426.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $185.08 / $185.08	Professional		$185.08	$185.08	$185.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $140.85	Facility		$140.85	$140.85	$140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $290.77	Professional		$102.82	$102.82	$290.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.48 / $217.74 / $302.58	Professional		$165.48	$217.74	$302.58
United Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $108.63 / $179.22	Professional		$85.06	$108.63	$179.22