Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $93.79 / $265.67	Facility		$93.79	$93.79	$265.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $133.16 / $158.53	Professional		$93.79	$133.16	$158.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.14 / $315.20 / $826.26	Facility		$225.14	$315.20	$826.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.03 / $187.20 / $359.42	Professional		$120.03	$187.20	$359.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.37 / $232.75 / $416.51	Facility		$191.37	$232.75	$416.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.37 / $191.37 / $191.37	Professional		$191.37	$191.37	$191.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $173.32 / $300.63	Professional		$141.99	$173.32	$300.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $225.14 / $409.49	Professional		$171.11	$225.14	$409.49
United Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $112.32 / $185.31	Professional		$87.94	$112.32	$185.31