Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $48,441.00 / $92,038.05	Facility		$59.41	$48,441.00	$92,038.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $60.01 / $88.23	Professional		$59.41	$60.01	$88.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $95.06 / $218.03	Facility		$59.41	$95.06	$218.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $59.41 / $116.44	Facility		$59.41	$59.41	$116.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $56.05 / $59.41	Facility		$56.05	$56.05	$59.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $164.00 / $167.00	Professional		$57.42	$164.00	$167.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $75.91	Professional		$59.41	$59.41	$75.91