Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $75.97 / $110.04	Facility		$74.86	$75.97	$110.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $76.73 / $101.06	Professional		$75.97	$76.73	$101.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $123.68 / $278.81	Facility		$75.97	$123.68	$278.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $148.90	Facility		$75.97	$75.97	$148.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $75.97	Facility		$71.67	$71.67	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $264.00 / $410.00	Professional		$80.87	$264.00	$410.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $111.91	Professional		$75.97	$75.97	$111.91