Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $83.43 / $236.32	Facility		$83.43	$83.43	$236.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $100.47 / $133.47	Professional		$83.43	$100.47	$133.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.27 / $280.38 / $734.99	Facility		$200.27	$280.38	$734.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.90 / $166.52 / $319.72	Professional		$109.90	$166.52	$319.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.22 / $170.23 / $370.50	Facility		$165.22	$170.23	$370.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.23 / $170.23 / $170.23	Professional		$170.23	$170.23	$170.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $140.58	Facility		$120.62	$120.62	$140.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $231.00	Professional		$88.05	$120.62	$231.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.21 / $200.27 / $278.43	Professional		$152.21	$200.27	$278.43
United Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $100.28 / $166.52	Professional		$73.97	$100.28	$166.52