Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $101.04 / $286.20	Facility		$101.04	$101.04	$286.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $133.25 / $161.66	Professional		$101.04	$133.25	$161.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.54 / $339.56 / $890.12	Facility		$242.54	$339.56	$890.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $201.67 / $387.21	Professional		$127.59	$201.67	$387.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.02 / $224.53 / $448.70	Facility		$172.02	$224.53	$448.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $206.16 / $206.16	Professional		$206.16	$206.16	$206.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $162.28 / $270.61	Professional		$124.75	$162.28	$270.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $242.54 / $378.94	Professional		$184.33	$242.54	$378.94
United Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $121.00 / $199.63	Professional		$84.14	$121.00	$199.63