Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.44 / $426.82 / $1,268.54	Facility		$182.44	$426.82	$1,268.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $184.27 / $236.91	Professional		$182.45	$184.27	$236.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $297.02 / $669.59	Facility		$182.45	$297.02	$669.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $182.45 / $182.45	Professional		$145.96	$182.45	$182.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $357.60	Facility		$182.45	$182.45	$357.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $172.12 / $182.45	Facility		$172.12	$172.12	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $95.61 / $217.56	Professional		$95.61	$95.61	$217.56
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $279.14	Professional		$182.45	$182.45	$279.14