Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $53.12 / $150.46	Facility		$53.12	$53.12	$150.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $68.06 / $84.98	Professional		$53.12	$68.06	$84.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.51 / $178.51 / $467.96	Facility		$127.51	$178.51	$467.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $135.97 / $332.50	Professional		$84.65	$135.97	$332.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.21 / $108.38 / $235.89	Facility		$105.21	$108.38	$235.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $108.38 / $108.38	Professional		$108.38	$108.38	$108.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $100.70	Facility		$100.70	$100.70	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $151.44	Professional		$85.60	$85.60	$151.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $127.51 / $678.00	Professional		$96.91	$127.51	$678.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $63.61 / $104.95	Professional		$42.41	$63.61	$104.95