Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $311.93 / $23,296.64	Facility		$203.58	$311.93	$23,296.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $211.80 / $311.93	Professional		$203.58	$211.80	$311.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $325.73 / $747.14	Facility		$203.58	$325.73	$747.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $203.58 / $219.86	Professional		$174.52	$203.58	$219.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $203.58 / $399.02	Facility		$203.58	$203.58	$399.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $192.06 / $203.58	Facility		$192.06	$192.06	$203.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $141.22 / $240.21	Professional		$141.22	$141.22	$240.21
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $215.79 / $260.58	Professional		$203.58	$215.79	$260.58