Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $139.94 / $139.94	Facility		$139.94	$139.94	$139.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $139.94 / $139.94	Professional		$134.88	$139.94	$139.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.50 / $152.44 / $152.44	Facility		$140.50	$152.44	$152.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $140.50 / $160.16	Professional		$111.15	$140.50	$160.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $147.53 / $289.14	Facility		$143.31	$147.53	$289.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $177.79	Professional		$140.50	$140.50	$177.79