Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.16 / $183.16 / $183.16	Facility		$183.16	$183.16	$183.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $183.16 / $187.57	Professional		$176.54	$183.16	$187.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.88 / $141.88 / $520.74	Facility		$141.88	$141.88	$520.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $139.97 / $163.60	Professional		$139.97	$139.97	$163.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $193.09 / $193.09	Facility		$187.57	$193.09	$193.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $168.13 / $201.75	Facility		$134.50	$168.13	$201.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $182.10 / $218.52	Professional		$182.10	$182.10	$218.52