Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $213.80 / $38,018.94	Facility		$72.44	$213.80	$38,018.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $162.18	Professional		$72.44	$102.33	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $426.58 / $660.69	Facility		$177.83	$426.58	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $239.88	Professional		$93.33	$144.54	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $316.23	Facility		$112.20	$112.20	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $229.09	Professional		$83.18	$83.18	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $323.59	Professional		$125.89	$177.83	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $123.03 / $138.04	Facility		$67.61	$123.03	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $158.49	Professional		$58.88	$87.10	$158.49