Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $130.00	Facility		$45.90	$45.90	$130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $66.09 / $82.70	Professional		$45.90	$66.09	$82.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $154.24 / $404.32	Facility		$110.17	$154.24	$404.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $91.60 / $175.87	Professional		$58.74	$91.60	$175.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $110.17 / $215.93	Facility		$93.64	$110.17	$215.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $93.64 / $93.64	Professional		$93.64	$93.64	$93.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Facility		$68.84	$68.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $147.40	Professional		$50.25	$50.25	$147.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $110.17 / $200.47	Professional		$83.73	$110.17	$200.47
United Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $54.96 / $107.59	Professional		$43.04	$54.96	$107.59