Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.15 / $73.15 / $37,841.39	Facility		$73.15	$73.15	$37,841.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $103.87 / $130.69	Professional		$73.15	$103.87	$130.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.60 / $245.84 / $644.45	Facility		$175.60	$245.84	$644.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $146.01 / $280.33	Professional		$93.63	$146.01	$280.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.26 / $199.01 / $344.18	Facility		$149.26	$199.01	$344.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $149.26 / $149.26	Professional		$149.26	$149.26	$149.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Facility		$113.00	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $113.00 / $234.77	Professional		$82.49	$113.00	$234.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $175.60 / $318.85	Professional		$133.46	$175.60	$318.85
United Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $87.61 / $144.53	Professional		$58.40	$87.61	$144.53