Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $218.78	Facility		$74.13	$74.13	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $151.36	Professional		$74.13	$89.13	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $436.52 / $676.08	Facility		$181.97	$436.52	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $229.09	Professional		$95.50	$147.91	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $295.12	Facility		$112.20	$112.20	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $208.93	Professional		$83.18	$83.18	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $251.19	Professional		$120.23	$181.97	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $120.23 / $131.83	Facility		$61.66	$120.23	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $154.88	Professional		$60.26	$89.13	$154.88