Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.53 / $182.53 / $182.53	Facility		$182.53	$182.53	$182.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $182.53 / $182.53	Professional		$175.94	$182.53	$182.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $15.03 / $183.26	Facility		$6.33	$15.03	$183.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $167.14 / $208.92	Professional		$6.33	$167.14	$208.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $192.43 / $377.16	Facility		$186.93	$192.43	$377.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $33.39 / $186.93	Professional		$33.39	$33.39	$186.93
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $202.19	Professional		$183.26	$183.26	$202.19