Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $193.76 / $278.93	Facility		$189.75	$193.76	$278.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $193.76 / $229.60	Professional		$189.75	$193.76	$229.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $315.44 / $711.10	Facility		$193.76	$315.44	$711.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $193.76 / $379.77	Facility		$193.76	$193.76	$379.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $182.79 / $193.76	Facility		$182.79	$182.79	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $227.00 / $351.00	Professional		$204.94	$227.00	$351.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $223.51	Professional		$193.76	$193.76	$223.51