Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $749.45	Facility		$39.83	$39.83	$749.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $40.22 / $48.19	Professional		$39.83	$40.22	$48.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $64.83 / $146.13	Facility		$39.82	$64.83	$146.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $78.06	Facility		$39.83	$39.83	$78.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $37.57 / $39.83	Facility		$37.57	$37.57	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $43.86 / $188.00	Professional		$39.79	$43.86	$188.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $45.60	Professional		$39.83	$39.83	$45.60