Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.23 / $301.30 / $301.30	Professional		$286.23	$301.30	$301.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.49 / $282.49 / $282.49	Facility		$282.49	$282.49	$282.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.00 / $1,105.00 / $1,105.00	Professional		$946.00	$1,105.00	$1,105.00