Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $294.69 / $2,147.04	Facility		$194.32	$294.69	$2,147.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $294.69 / $303.52	Professional		$194.32	$294.69	$303.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.69 / $479.76 / $1,081.51	Facility		$294.69	$479.76	$1,081.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.75 / $294.69 / $294.69	Professional		$235.75	$294.69	$294.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.69 / $294.69 / $577.59	Facility		$294.69	$294.69	$577.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $278.01 / $294.69	Facility		$278.01	$278.01	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $201.33	Professional		$10.19	$10.19	$201.33
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $447.37	Professional		$294.69	$294.69	$447.37