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 $147.50 / $202.68 / $389.15	Professional		$147.50	$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 $159.21 / $159.21 / $159.21	Facility		$159.21	$159.21	$159.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $304.13	Professional		$116.22	$116.22	$304.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.26 / $243.76 / $544.00	Professional		$185.26	$243.76	$544.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $121.61 / $200.63	Professional		$95.22	$121.61	$200.63