Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $90.53 / $256.44	Facility		$90.53	$90.53	$256.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $116.01 / $144.85	Professional		$90.53	$116.01	$144.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.32 / $304.25 / $797.56	Facility		$217.32	$304.25	$797.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $192.57 / $373.15	Professional		$154.05	$192.57	$373.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $184.72 / $402.04	Facility		$179.32	$184.72	$402.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.72 / $184.72 / $184.72	Professional		$184.72	$184.72	$184.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $154.96 / $250.50	Professional		$145.90	$154.96	$250.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.16 / $217.32 / $574.00	Professional		$165.16	$217.32	$574.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $108.42 / $187.82	Professional		$75.45	$108.42	$187.82