Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $95.82 / $427.02	Facility		$95.82	$95.82	$427.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $130.47 / $166.69	Professional		$95.82	$130.47	$166.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $322.01 / $844.14	Facility		$230.01	$322.01	$844.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $191.26 / $367.22	Professional		$122.63	$191.26	$367.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.51 / $219.84 / $425.52	Facility		$195.51	$219.84	$425.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $195.51 / $195.51	Professional		$195.51	$195.51	$195.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $163.71 / $278.68	Professional		$128.16	$163.71	$278.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $230.01 / $378.56	Professional		$174.81	$230.01	$378.56
United Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $114.76 / $189.55	Professional		$81.45	$114.76	$189.55