Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.76 / $107.76 / $305.24	Facility		$107.76	$107.76	$305.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $155.16 / $192.53	Professional		$107.76	$155.16	$192.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.68 / $362.15 / $949.36	Facility		$258.68	$362.15	$949.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $215.08 / $412.95	Professional		$137.90	$215.08	$412.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.88 / $293.17 / $507.01	Facility		$219.88	$293.17	$507.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.88 / $219.88 / $219.88	Professional		$219.88	$219.88	$219.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $345.43	Professional		$117.99	$161.63	$345.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.60 / $258.68 / $470.27	Professional		$196.60	$258.68	$470.27
United Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $180.27 / $198.86	Facility		$99.43	$180.27	$198.86
United Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $129.05 / $212.91	Professional		$86.03	$129.05	$212.91