Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $27,404.00 / $60,697.85	Facility		$50.74	$27,404.00	$60,697.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $51.24 / $75.34	Professional		$50.74	$51.24	$75.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $82.60 / $186.22	Facility		$50.74	$82.60	$186.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $109.36 / $109.36	Professional		$44.35	$109.36	$109.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $50.74 / $99.80	Facility		$50.74	$50.74	$99.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $47.87 / $50.74	Facility		$47.87	$47.87	$50.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $59.04 / $59.04	Professional		$40.84	$59.04	$59.04
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $88.80	Professional		$50.74	$50.74	$88.80