Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.94 / $185.70 / $35,462.96	Facility		$171.94	$185.70	$35,462.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $173.93 / $208.05	Professional		$172.22	$173.93	$208.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $280.37 / $632.04	Facility		$172.22	$280.37	$632.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $172.22 / $172.22	Professional		$137.77	$172.22	$172.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $172.22 / $337.55	Facility		$172.22	$172.22	$337.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $162.47 / $172.22	Facility		$162.47	$162.47	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $67.64 / $178.67	Professional		$67.64	$67.64	$178.67
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $237.98	Professional		$172.22	$172.22	$237.98