Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $938.00 / $9,260.04	Facility		$25.33	$938.00	$9,260.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.58 / $144.56	Professional		$25.33	$25.58	$144.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $41.24 / $92.96	Facility		$25.33	$41.24	$92.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $27.35	Professional		$25.33	$25.33	$27.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $49.65	Facility		$25.33	$25.33	$49.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $23.90 / $25.33	Facility		$23.90	$23.90	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $865.00 / $1,339.00	Professional		$40.79	$865.00	$1,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.85 / $32.42	Professional		$25.33	$26.85	$32.42