Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $199.53 / $316.23	Facility		$74.13	$199.53	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $107.15	Professional		$74.13	$87.10	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $123.03 / $144.54	Facility		$13.80	$123.03	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $112.20 / $112.20	Professional		$6.92	$112.20	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $338.84	Facility		$173.78	$245.47	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $169.82	Professional		$128.82	$138.04	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $144.54	Professional		$123.03	$128.82	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $112.20	Facility		$61.66	$100.00	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $162.18	Professional		$46.77	$67.61	$162.18