Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $230.26 / $455.92	Facility		$230.15	$230.26	$455.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.46 / $278.62	Professional		$230.15	$232.46	$278.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $374.68 / $844.65	Facility		$230.15	$374.68	$844.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $230.15 / $230.15	Professional		$184.12	$230.15	$230.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $230.15 / $451.09	Facility		$230.15	$230.15	$451.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $217.13 / $230.15	Facility		$217.13	$217.13	$230.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.66 / $175.66 / $245.87	Professional		$175.66	$175.66	$245.87
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $268.01	Professional		$230.15	$230.15	$268.01