Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.00 / $249.00 / $249.00	Facility		$249.00	$249.00	$249.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $249.00 / $255.00	Professional		$240.00	$249.00	$255.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.30 / $347.68 / $797.49	Facility		$217.30	$347.68	$797.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $285.00 / $285.00	Professional		$228.00	$285.00	$285.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $262.50 / $514.50	Facility		$255.00	$262.50	$514.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.25 / $255.00 / $370.87	Professional		$150.25	$255.00	$370.87
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $265.00	Professional		$100.00	$250.00	$265.00