Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.40 / $148.40 / $148.40	Facility		$148.40	$148.40	$148.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $148.40 / $148.40	Professional		$143.04	$148.40	$148.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $128.69 / $128.69	Facility		$118.62	$128.69	$128.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.89 / $169.86 / $169.86	Professional		$94.89	$169.86	$169.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $124.55 / $244.11	Facility		$120.99	$124.55	$244.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $246.00 / $547.00	Professional		$84.66	$246.00	$547.00