Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.07 / $88.07 / $249.45	Facility		$88.07	$88.07	$249.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $125.05 / $147.38	Professional		$88.07	$125.05	$147.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.40 / $295.95 / $775.84	Facility		$211.40	$295.95	$775.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $175.78 / $337.50	Professional		$112.70	$175.78	$337.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.69 / $211.88 / $391.09	Facility		$179.69	$211.88	$391.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.69 / $179.69 / $179.69	Professional		$179.69	$179.69	$179.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $157.79 / $282.26	Professional		$121.52	$157.79	$282.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $211.40 / $383.90	Professional		$160.66	$211.40	$383.90
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $105.47 / $174.00	Professional		$82.58	$105.47	$174.00