Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.53 / $81.53 / $230.94	Facility		$81.53	$81.53	$230.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $104.47 / $130.44	Professional		$81.53	$104.47	$130.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.71 / $273.99 / $718.26	Facility		$195.71	$273.99	$718.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $162.72 / $312.42	Professional		$129.91	$162.72	$312.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.52 / $166.35 / $362.06	Facility		$161.52	$166.35	$362.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.35 / $166.35 / $166.35	Professional		$166.35	$166.35	$166.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $225.75	Professional		$57.58	$57.58	$225.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.74 / $195.71 / $507.00	Professional		$148.74	$195.71	$507.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $97.63 / $161.07	Professional		$67.95	$97.63	$161.07