Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $127.45 / $185.57	Facility		$126.24	$127.45	$185.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $127.45 / $152.75	Professional		$126.24	$127.45	$152.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $207.49 / $467.74	Facility		$127.45	$207.49	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $249.80	Facility		$127.45	$127.45	$249.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $120.24 / $127.45	Facility		$120.24	$120.24	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $480.00 / $627.00	Professional		$131.71	$480.00	$627.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $195.00	Professional		$127.45	$127.45	$195.00