Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $211.34 / $211.34	Facility		$1.30	$211.34	$211.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $211.34 / $285.31	Professional		$211.34	$211.34	$285.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.39 / $241.63 / $259.14	Facility		$205.39	$241.63	$259.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.47 / $211.47 / $211.47	Professional		$211.47	$211.47	$211.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.75 / $217.55 / $424.24	Facility		$138.75	$217.55	$424.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Facility		$232.20	$232.20	$232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.31 / $303.00 / $364.00	Professional		$142.31	$303.00	$364.00
United Facility/Professional Facility Modifier Low / Median / High Price $248.63 / $484.83 / $484.83	Facility		$248.63	$484.83	$484.83
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $248.63 / $259.14	Professional		$207.32	$248.63	$259.14