Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $170.09	Facility		$60.05	$60.05	$170.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $85.26 / $96.07	Professional		$60.05	$85.26	$96.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $201.80 / $528.99	Facility		$144.13	$201.80	$528.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $119.85 / $230.11	Professional		$76.84	$119.85	$230.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.52 / $144.13 / $282.51	Facility		$122.52	$144.13	$282.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.52 / $122.52 / $122.52	Professional		$122.52	$122.52	$122.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $90.07	Facility		$90.07	$90.07	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $90.07 / $167.25	Professional		$65.75	$90.07	$167.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $144.13 / $262.33	Professional		$109.55	$144.13	$262.33
United Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $71.91 / $144.13	Professional		$62.60	$71.91	$144.13