Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $80.20 / $227.21	Facility		$80.20	$80.20	$227.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $113.90 / $135.16	Professional		$80.20	$113.90	$135.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.55 / $269.57 / $706.66	Facility		$192.55	$269.57	$706.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $160.10 / $307.39	Professional		$102.65	$160.10	$307.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $201.18 / $356.22	Facility		$163.66	$201.18	$356.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $163.66 / $163.66	Professional		$163.66	$163.66	$163.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $274.50	Professional		$92.70	$92.70	$274.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $192.55 / $349.77	Professional		$146.34	$192.55	$349.77
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $96.06 / $158.47	Professional		$64.04	$96.06	$158.47