Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $11,477.01 / $15,777.19	Facility		$28.52	$11,477.01	$15,777.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.68 / $34.51	Professional		$28.52	$28.68	$34.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $46.69 / $105.26	Facility		$28.68	$46.69	$105.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $28.68 / $28.68	Professional		$25.67	$28.68	$28.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $28.68 / $56.21	Facility		$28.68	$28.68	$56.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $27.06 / $28.68	Facility		$27.06	$27.06	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $65.00 / $111.00	Professional		$23.76	$65.00	$111.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $34.82	Professional		$28.68	$28.68	$34.82