Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $199.67	Professional		$191.91	$191.92	$199.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $223.68 / $704.35	Facility		$191.92	$223.68	$704.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $171.72 / $171.72	Professional		$145.38	$171.72	$171.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $376.16	Facility		$191.92	$191.92	$376.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Facility		$188.55	$188.55	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.69 / $263.00 / $281.00	Professional		$177.69	$263.00	$281.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $202.02 / $210.44	Professional		$168.35	$202.02	$210.44