Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $109.00 / $12,861.99	Facility		$44.11	$109.00	$12,861.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.54 / $53.83	Professional		$44.11	$44.54	$53.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $71.81 / $161.88	Facility		$44.11	$71.81	$161.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $44.11 / $44.11	Professional		$39.42	$44.11	$44.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $44.11 / $86.46	Facility		$44.11	$44.11	$86.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $41.61 / $44.11	Facility		$41.61	$41.61	$44.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $54.85	Professional		$25.20	$25.20	$54.85
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $67.48	Professional		$44.11	$44.11	$67.48