Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $149.83 / $729.24	Facility		$77.84	$149.83	$729.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $149.83 / $230.47	Professional		$149.83	$149.83	$230.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.65 / $171.35 / $183.78	Facility		$145.65	$171.35	$183.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.96 / $149.96 / $149.96	Professional		$149.96	$149.96	$149.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $154.24 / $302.30	Facility		$149.83	$154.24	$302.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $211.00 / $211.00	Professional		$104.42	$211.00	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $176.27 / $183.78	Professional		$147.02	$176.27	$183.78