Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $13,143.35 / $46,663.89	Facility		$21.31	$13,143.35	$46,663.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.52 / $29.26	Professional		$21.31	$21.52	$29.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $34.69 / $78.20	Facility		$21.31	$34.69	$78.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.31 / $21.31	Professional		$19.50	$21.31	$21.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $41.77	Facility		$21.31	$21.31	$41.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $20.10 / $21.31	Facility		$20.10	$20.10	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $84.00 / $134.00	Professional		$20.23	$84.00	$134.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $32.60	Professional		$21.31	$21.31	$32.60