Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.41 / $69.41 / $196.61	Facility		$69.41	$69.41	$196.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $86.12 / $115.14	Professional		$69.41	$86.12	$115.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.62 / $233.27 / $611.50	Facility		$166.62	$233.27	$611.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $138.54 / $266.00	Professional		$87.77	$138.54	$266.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $141.63 / $308.25	Facility		$123.73	$141.63	$308.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $141.63 / $141.63	Professional		$141.63	$141.63	$141.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $95.46 / $174.75	Professional		$71.20	$95.46	$174.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $166.62 / $266.58	Professional		$126.63	$166.62	$266.58
United Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $83.12 / $137.15	Professional		$55.42	$83.12	$137.15