Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.93 / $201.93 / $201.93	Facility		$201.93	$201.93	$201.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $198.69 / $233.75	Professional		$188.44	$198.69	$233.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $325.50 / $325.50	Facility		$300.00	$325.50	$325.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $248.16 / $300.00	Professional		$235.10	$248.16	$300.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $315.00 / $614.27	Facility		$306.00	$315.00	$614.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $582.66 / $1,024.00	Professional		$291.33	$582.66	$1,024.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $360.00	Professional		$300.00	$300.00	$360.00