Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $9,110.50 / $29,076.71	Facility		$89.34	$9,110.50	$29,076.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $90.23 / $163.49	Professional		$70.66	$90.23	$163.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $145.44 / $327.88	Facility		$89.34	$145.44	$327.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $175.72	Facility		$89.34	$89.34	$175.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $84.29 / $89.34	Facility		$84.29	$84.29	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $455.00 / $1,854.00	Professional		$21.98	$455.00	$1,854.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $114.36	Professional		$89.34	$94.70	$114.36