Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $119.61 / $119.61	Facility		$108.80	$119.61	$119.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $119.61 / $140.72	Professional		$71.63	$119.61	$140.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.19 / $136.69 / $146.60	Facility		$116.19	$136.69	$146.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $106.67 / $106.67	Professional		$106.67	$106.67	$106.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.61 / $123.13 / $241.33	Facility		$119.61	$123.13	$241.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Facility		$131.35	$131.35	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $45.15 / $55.36	Professional		$11.72	$45.15	$55.36
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $140.74 / $146.60	Professional		$117.28	$140.74	$146.60