Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $75.05 / $538.20	Facility		$64.62	$75.05	$538.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $65.26 / $90.81	Professional		$64.62	$65.26	$90.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $70.11 / $70.11	Facility		$64.62	$70.11	$70.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $64.62 / $64.62	Professional		$51.69	$64.62	$64.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $126.66	Facility		$64.62	$64.62	$126.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $60.96 / $64.62	Facility		$60.96	$60.96	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $75.23	Professional		$13.71	$13.71	$75.23
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $113.09	Professional		$64.62	$64.62	$113.09