Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $4,800.00 / $15,297.88	Facility		$18.95	$4,800.00	$15,297.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $22.23 / $24.46	Professional		$20.09	$22.23	$24.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $35.85 / $80.81	Facility		$22.02	$35.85	$80.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.46	Professional		$22.02	$22.02	$22.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $43.16	Facility		$22.02	$22.02	$43.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $20.77 / $22.02	Facility		$20.77	$20.77	$22.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $66.00 / $97.00	Professional		$22.85	$66.00	$97.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $33.69	Professional		$22.02	$22.02	$33.69