Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $213.84 / $312.17	Facility		$212.36	$213.84	$312.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $215.97 / $256.95	Professional		$212.36	$215.97	$256.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $348.13 / $784.79	Facility		$213.84	$348.13	$784.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.38 / $213.84 / $213.84	Professional		$206.38	$213.84	$213.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $213.84 / $419.13	Facility		$213.84	$213.84	$419.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $201.74 / $213.84	Facility		$201.74	$201.74	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $253.00 / $345.00	Professional		$230.88	$253.00	$345.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $243.00	Professional		$213.84	$213.84	$243.00