Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $165.83 / $238.08	Facility		$161.96	$165.83	$238.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $165.83 / $195.97	Professional		$161.96	$165.83	$195.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $269.97 / $608.60	Facility		$165.83	$269.97	$608.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $165.83 / $325.02	Facility		$165.83	$165.83	$325.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $156.44 / $165.83	Facility		$156.44	$156.44	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $284.00 / $440.00	Professional		$103.54	$284.00	$440.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $181.19	Professional		$165.83	$165.83	$181.19