Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.23 / $55.23 / $159.08	Facility		$55.23	$55.23	$159.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $70.73 / $88.36	Professional		$55.23	$70.73	$88.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.57 / $185.60 / $486.53	Facility		$132.57	$185.60	$486.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $129.46 / $235.00	Professional		$75.29	$129.46	$235.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.37 / $112.68 / $245.25	Facility		$109.37	$112.68	$245.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $112.68 / $112.68	Professional		$112.68	$112.68	$112.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $153.00	Professional		$88.96	$88.96	$153.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $132.57 / $214.34	Professional		$100.75	$132.57	$214.34
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $66.14 / $114.71	Professional		$46.00	$66.14	$114.71