Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $140.99 / $206.43	Facility		$140.43	$140.99	$206.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $140.99 / $169.92	Professional		$140.43	$140.99	$169.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $229.53 / $517.42	Facility		$140.99	$229.53	$517.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $140.99 / $276.33	Facility		$140.99	$140.99	$276.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $133.01 / $140.99	Facility		$133.01	$133.01	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $334.00 / $505.00	Professional		$150.13	$334.00	$505.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $149.44 / $180.47	Professional		$140.99	$149.44	$180.47