Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.99 / $180.20 / $180.20	Facility		$162.99	$180.20	$180.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $212.00	Professional		$180.20	$180.20	$212.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.28 / $212.09 / $227.46	Facility		$180.28	$212.09	$227.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $173.28 / $173.28	Professional		$173.28	$173.28	$173.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $191.07 / $374.49	Facility		$185.61	$191.07	$374.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $143.74 / $202.11	Professional		$107.70	$143.74	$202.11
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.36 / $252.16	Professional		$181.97	$218.36	$252.16