Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.64 / $65.64 / $185.91	Facility		$65.64	$65.64	$185.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $75.19 / $105.02	Professional		$65.64	$75.19	$105.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.55 / $220.57 / $578.21	Facility		$157.55	$220.57	$578.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $131.01 / $251.54	Professional		$76.13	$131.01	$251.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $133.91 / $291.47	Facility		$107.20	$133.91	$291.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $133.91 / $133.91	Professional		$133.91	$133.91	$133.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Facility		$99.25	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $167.12	Professional		$72.45	$72.45	$167.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $157.55 / $218.65	Professional		$119.74	$157.55	$218.65
United Facility/Professional Facility Modifier Low / Median / High Price $48.13 / $87.25 / $96.25	Facility		$48.13	$87.25	$96.25
United Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $78.61 / $131.01	Professional		$52.40	$78.61	$131.01