Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $331.03 / $311,695.50	Facility		$225.11	$331.03	$311,695.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $227.36 / $334.28	Professional		$225.11	$227.36	$334.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $366.48 / $826.15	Facility		$225.11	$366.48	$826.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $225.11 / $441.22	Facility		$225.11	$225.11	$441.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $212.37 / $225.11	Facility		$212.37	$212.37	$225.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $701.00 / $822.00	Professional		$226.28	$701.00	$822.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $240.22	Professional		$225.11	$225.11	$240.22