Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.66 / $10,296.00 / $11,762.56	Facility		$120.66	$10,296.00	$11,762.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $152.86 / $307.68	Professional		$120.66	$152.86	$307.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.98 / $301.04 / $370.13	Professional		$285.98	$301.04	$370.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.86 / $85.86 / $85.86	Facility		$85.86	$85.86	$85.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.43 / $323.17 / $1,426.80	Professional		$189.43	$323.17	$1,426.80
United Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $242.14 / $377.08	Professional		$99.84	$242.14	$377.08