Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Facility		$173.00	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $203.52 / $203.52	Professional		$193.34	$203.52	$203.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $188.95 / $188.95	Facility		$188.95	$188.95	$188.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $263.02 / $263.02	Facility		$263.02	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $254.00 / $254.00	Professional		$218.00	$254.00	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Professional		$93.21	$93.21	$93.21