Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $798.98 / $36,879.83	Facility		$94.45	$798.98	$36,879.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $95.39 / $140.25	Professional		$94.45	$95.39	$140.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $132.22 / $346.63	Facility		$60.32	$132.22	$346.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $94.45 / $94.45	Professional		$82.33	$94.45	$94.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $94.45 / $185.12	Facility		$94.45	$94.45	$185.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $89.10 / $94.45	Facility		$89.10	$89.10	$94.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $55.42 / $100.63	Professional		$55.42	$55.42	$100.63
United Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $99.62	Professional		$94.45	$94.45	$99.62