Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.04 / $85.04 / $8,939.25	Facility		$85.04	$85.04	$8,939.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $120.76 / $144.83	Professional		$85.04	$120.76	$144.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.15 / $285.81 / $749.23	Facility		$204.15	$285.81	$749.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $169.74 / $325.89	Professional		$108.83	$169.74	$325.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.53 / $204.94 / $400.13	Facility		$173.53	$204.94	$400.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.53 / $173.53 / $173.53	Professional		$173.53	$173.53	$173.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $170.15	Facility		$170.15	$170.15	$170.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $152.62 / $272.85	Professional		$124.21	$152.62	$272.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $204.15 / $371.09	Professional		$155.15	$204.15	$371.09
United Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $101.84 / $168.03	Professional		$79.73	$101.84	$168.03