Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $206.62 / $450.43	Facility		$206.59	$206.62	$450.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.62 / $250.01	Professional		$206.59	$206.62	$250.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $336.33 / $758.19	Facility		$206.59	$336.33	$758.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $206.59 / $206.59	Professional		$181.47	$206.59	$206.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $206.59 / $404.92	Facility		$206.59	$206.59	$404.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $194.90 / $206.59	Facility		$194.90	$194.90	$206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.21 / $221.80 / $817.00	Professional		$171.21	$221.80	$817.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $218.99	Professional		$206.59	$206.59	$218.99