Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $74.20 / $74.20	Facility		$74.20	$74.20	$74.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $74.20 / $74.20	Professional		$71.52	$74.20	$74.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $80.83 / $80.83	Facility		$74.50	$80.83	$80.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $84.93 / $84.93	Professional		$74.50	$84.93	$84.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $78.23 / $153.32	Facility		$75.98	$78.23	$153.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $132.00 / $205.00	Professional		$75.98	$132.00	$205.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $82.19	Professional		$74.50	$74.50	$82.19