Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $88.93 / $251.90	Facility		$88.93	$88.93	$251.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $126.28 / $150.07	Professional		$88.93	$126.28	$150.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.47 / $298.86 / $783.43	Facility		$213.47	$298.86	$783.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $177.50 / $340.80	Professional		$113.81	$177.50	$340.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.86 / $226.47 / $394.92	Facility		$169.86	$226.47	$394.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $181.45 / $181.45	Professional		$181.45	$181.45	$181.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $172.35	Facility		$172.35	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $160.19 / $267.02	Professional		$125.82	$160.19	$267.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $213.47 / $362.57	Professional		$162.24	$213.47	$362.57
United Facility/Professional Facility Modifier Low / Median / High Price $61.45 / $131.74 / $150.19	Facility		$61.45	$131.74	$150.19
United Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $106.50 / $175.71	Professional		$71.00	$106.50	$175.71