Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.15 / $366.15 / $366.15	Facility		$366.15	$366.15	$366.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $366.15 / $366.15	Professional		$352.92	$366.15	$366.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.63 / $398.88 / $398.88	Facility		$367.63	$398.88	$398.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $419.09 / $419.09	Professional		$367.63	$419.09	$419.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $386.01 / $756.57	Facility		$374.98	$386.01	$756.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $149.99	Professional		$25.00	$25.00	$149.99
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $405.59	Professional		$367.63	$367.63	$405.59