Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $831.76	Facility		$162.18	$223.87	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $239.88	Professional		$162.18	$190.55	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $269.15 / $323.59	Facility		$64.57	$269.15	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $169.82	Professional		$31.62	$31.62	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $758.58	Facility		$380.19	$537.03	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $380.19	Professional		$281.84	$302.00	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $323.59	Professional		$269.15	$281.84	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $245.47	Facility		$134.90	$223.87	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $354.81	Professional		$104.71	$147.91	$354.81