Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $92.61 / $262.31	Facility		$92.61	$92.61	$262.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $131.50 / $150.22	Professional		$92.61	$131.50	$150.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.30 / $311.22 / $815.84	Facility		$222.30	$311.22	$815.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $184.84 / $354.89	Professional		$118.51	$184.84	$354.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.96 / $239.56 / $411.26	Facility		$188.96	$239.56	$411.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.96 / $188.96 / $188.96	Professional		$188.96	$188.96	$188.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $182.31	Facility		$182.31	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $178.30 / $297.05	Professional		$133.09	$178.30	$297.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $222.30 / $404.16	Professional		$168.95	$222.30	$404.16
United Facility/Professional Professional Modifier Low / Median / High Price $86.84 / $110.90 / $182.97	Professional		$86.84	$110.90	$182.97