Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $108.72 / $307.97	Facility		$108.72	$108.72	$307.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $155.15 / $194.25	Professional		$108.72	$155.15	$194.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.99 / $365.39 / $957.83	Facility		$260.99	$365.39	$957.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $217.01 / $416.66	Professional		$139.13	$217.01	$416.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.84 / $295.77 / $482.83	Facility		$221.84	$295.77	$482.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $221.84 / $221.84	Professional		$221.84	$221.84	$221.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $225.10	Facility		$225.10	$225.10	$225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $209.29 / $348.57	Professional		$164.32	$209.29	$348.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.35 / $260.99 / $474.54	Professional		$198.35	$260.99	$474.54
United Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $181.88 / $200.64	Facility		$100.32	$181.88	$200.64
United Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $130.21 / $214.82	Professional		$101.95	$130.21	$214.82