Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.51 / $92.51 / $262.04	Facility		$92.51	$92.51	$262.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $133.21 / $186.67	Professional		$92.51	$133.21	$186.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.07 / $310.89 / $815.00	Facility		$222.07	$310.89	$815.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $184.65 / $354.53	Professional		$118.39	$184.65	$354.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $212.19 / $410.83	Facility		$188.76	$212.19	$410.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $188.76	Professional		$188.76	$188.76	$188.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $274.13	Professional		$101.29	$138.76	$274.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.77 / $222.07 / $308.42	Professional		$168.77	$222.07	$308.42
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $110.79 / $182.78	Professional		$86.74	$110.79	$182.78