Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $588.62 / $14,510.71	Facility		$32.09	$588.62	$14,510.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $63.06 / $66.20	Professional		$33.69	$63.06	$66.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $102.66 / $231.43	Facility		$63.06	$102.66	$231.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $64.31	Professional		$63.06	$63.06	$64.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $124.04	Facility		$63.06	$63.06	$124.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $59.49 / $63.06	Facility		$59.49	$59.49	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $280.33 / $280.33	Professional		$88.97	$280.33	$280.33
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $66.84 / $80.72	Professional		$63.06	$66.84	$80.72