Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $5,245.88 / $9,349.99	Facility		$29.38	$5,245.88	$9,349.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $30.56 / $1,511.34	Professional		$29.38	$30.56	$1,511.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $47.83 / $107.82	Facility		$29.38	$47.83	$107.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $29.38 / $29.38	Professional		$24.89	$29.38	$29.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $57.58	Facility		$29.38	$29.38	$57.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $27.72 / $29.38	Facility		$27.72	$27.72	$29.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $66.00 / $77.00	Professional		$19.28	$66.00	$77.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $31.14 / $36.58	Professional		$29.38	$31.14	$36.58