Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $117.36 / $172.27	Facility		$117.19	$117.36	$172.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.36 / $141.80	Professional		$117.19	$117.36	$141.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $191.06 / $430.71	Facility		$117.36	$191.06	$430.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $117.36 / $117.36	Professional		$106.88	$117.36	$117.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $230.03	Facility		$117.36	$117.36	$230.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $110.72 / $117.36	Facility		$110.72	$110.72	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $309.00 / $478.00	Professional		$127.02	$309.00	$478.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $125.91	Professional		$117.36	$117.36	$125.91