Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $275.39 / $275.39	Facility		$275.39	$275.39	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $324.00	Professional		$275.39	$275.39	$324.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $292.95 / $314.69	Facility		$0.03	$292.95	$314.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $275.39	Professional		$275.39	$275.39	$275.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $283.50 / $555.66	Facility		$275.39	$283.50	$555.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Facility		$302.39	$302.39	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $275.39 / $802.00	Professional		$183.00	$275.39	$802.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $324.00 / $324.00	Professional		$247.34	$324.00	$324.00