Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $162.97 / $165.00	Facility		$156.16	$162.97	$165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $212.00	Professional		$162.97	$162.97	$212.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.46 / $189.95 / $203.73	Facility		$161.46	$189.95	$203.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $173.28 / $173.28	Professional		$138.62	$173.28	$173.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $162.97 / $319.44	Facility		$162.97	$162.97	$319.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $153.75 / $203.81	Facility		$153.75	$153.75	$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 $120.50 / $164.95 / $202.11	Professional		$120.50	$164.95	$202.11
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $218.36 / $225.84	Professional		$162.97	$218.36	$225.84