Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $139.94 / $33,339.15	Facility		$129.47	$139.94	$33,339.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $130.77 / $156.79	Professional		$129.47	$130.77	$156.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $210.79 / $475.19	Facility		$129.47	$210.79	$475.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $129.47 / $129.47	Professional		$122.43	$129.47	$129.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $253.78	Facility		$129.47	$129.47	$253.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $122.15 / $129.47	Facility		$122.15	$122.15	$129.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $303.00 / $541.00	Professional		$141.55	$303.00	$541.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $137.25	Professional		$129.47	$129.47	$137.25