Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $65.73 / $96.62	Facility		$65.63	$65.73	$96.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.73 / $79.53	Professional		$65.63	$65.73	$79.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $106.85 / $240.86	Facility		$65.63	$106.85	$240.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $65.63 / $65.63	Professional		$57.66	$65.63	$65.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $65.63 / $128.63	Facility		$65.63	$65.63	$128.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $61.91 / $65.63	Facility		$61.91	$61.91	$65.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $3,453.00 / $5,349.00	Professional		$56.48	$3,453.00	$5,349.00
United Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $124.57 / $124.57	Facility		$63.88	$124.57	$124.57
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $70.56	Professional		$65.63	$65.63	$70.56