Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.39 / $116.76 / $116.76	Facility		$115.39	$116.76	$116.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $116.76 / $116.76	Professional		$112.54	$116.76	$116.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $195.95 / $441.72	Facility		$120.36	$195.95	$441.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $132.32 / $133.65	Professional		$117.24	$132.32	$133.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $123.10 / $241.27	Facility		$119.58	$123.10	$241.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.85 / $119.58 / $119.58	Facility		$115.85	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $113.08 / $115.85	Professional		$91.80	$113.08	$115.85
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $124.84	Professional		$117.24	$117.24	$124.84