Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.26 / $372.26 / $372.26	Facility		$372.26	$372.26	$372.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $372.26 / $372.26	Professional		$358.80	$372.26	$372.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $423.15 / $423.15	Facility		$390.00	$423.15	$423.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $90.25 / $390.00	Professional		$85.50	$90.25	$390.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $392.44 / $765.28	Facility		$381.23	$392.44	$765.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Facility		$381.23	$381.23	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $80.75 / $161.50	Professional		$72.87	$80.75	$161.50
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $448.50	Professional		$390.00	$390.00	$448.50