Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $273.11	Facility		$96.42	$96.42	$273.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $134.46 / $156.11	Professional		$96.42	$134.46	$156.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.45 / $324.02 / $849.42	Facility		$231.45	$324.02	$849.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $192.46 / $369.52	Professional		$123.40	$192.46	$369.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.73 / $209.22 / $428.18	Facility		$196.73	$209.22	$428.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.73 / $196.73 / $196.73	Professional		$196.73	$196.73	$196.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $159.22	Facility		$159.22	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $155.80 / $285.38	Professional		$116.23	$155.80	$285.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.90 / $231.45 / $406.29	Professional		$175.90	$231.45	$406.29
United Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $115.48 / $192.46	Professional		$87.46	$115.48	$192.46