Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $886.22 / $1,933.95	Facility		$30.01	$886.22	$1,933.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $30.31 / $54.91	Professional		$29.30	$30.31	$54.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $48.86 / $110.14	Facility		$30.01	$48.86	$110.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $30.01 / $30.01	Professional		$24.13	$30.01	$30.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $30.01 / $58.82	Facility		$30.01	$30.01	$58.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $30.01	Facility		$28.31	$28.31	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $47.00 / $77.00	Professional		$13.76	$47.00	$77.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $35.97	Professional		$30.01	$30.01	$35.97