Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $63.42 / $179.64	Facility		$63.42	$63.42	$179.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $76.40 / $101.46	Professional		$63.42	$76.40	$101.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.24 / $213.14 / $558.72	Facility		$152.24	$213.14	$558.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $126.58 / $243.03	Professional		$86.31	$126.58	$243.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.64 / $129.40 / $281.64	Facility		$125.64	$129.40	$281.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $129.40 / $129.40	Professional		$129.40	$129.40	$129.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $106.88	Facility		$98.15	$98.15	$106.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $95.86 / $175.50	Professional		$71.65	$95.86	$175.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $152.24 / $211.52	Professional		$115.70	$152.24	$211.52
United Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $76.44 / $125.29	Professional		$56.24	$76.44	$125.29