Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $132.04 / $194.10	Facility		$131.16	$132.04	$194.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $132.04 / $159.77	Professional		$131.16	$132.04	$159.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $213.53 / $481.36	Facility		$131.16	$213.53	$481.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $133.78	Professional		$131.16	$131.16	$133.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $257.98	Facility		$131.16	$131.16	$257.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $123.73 / $131.16	Facility		$123.73	$123.73	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.01 / $656.00 / $1,560.00	Professional		$117.01	$656.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $139.03 / $167.88	Professional		$131.16	$139.03	$167.88