Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.55 / $101.55 / $287.64	Facility		$101.55	$101.55	$287.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $146.22 / $191.32	Professional		$101.55	$146.22	$191.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.76 / $341.26 / $894.60	Facility		$243.76	$341.26	$894.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $202.68 / $389.15	Professional		$129.96	$202.68	$389.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.20 / $223.97 / $450.96	Facility		$207.20	$223.97	$450.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.20 / $207.20 / $207.20	Professional		$207.20	$207.20	$207.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $184.91	Facility		$184.91	$184.91	$184.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $165.98 / $304.13	Professional		$134.97	$165.98	$304.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.26 / $243.76 / $338.78	Professional		$185.26	$243.76	$338.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $121.61 / $200.63	Professional		$81.06	$121.61	$200.63