Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $181.22 / $2,406.40	Facility		$175.82	$181.22	$2,406.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $183.03 / $258.45	Professional		$181.22	$183.03	$258.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $295.02 / $665.08	Facility		$181.22	$295.02	$665.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $181.22 / $181.22	Professional		$167.24	$181.22	$181.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $181.22 / $355.19	Facility		$181.22	$181.22	$355.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $181.22	Facility		$170.96	$170.96	$181.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $281.92 / $281.92	Professional		$173.60	$281.92	$281.92
United Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $255.87	Professional		$181.22	$181.22	$255.87