Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $124.50 / $124.50	Facility		$124.50	$124.50	$124.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $124.50 / $124.50	Professional		$120.00	$124.50	$124.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $213.89 / $482.16	Facility		$131.38	$213.89	$482.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $142.50 / $142.50	Professional		$125.00	$142.50	$142.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $131.25 / $257.25	Facility		$127.50	$131.25	$257.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $137.91	Professional		$125.00	$125.00	$137.91