Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $499.59 / $986.90	Facility		$53.08	$499.59	$986.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $64.23	Professional		$53.08	$53.08	$64.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $86.41 / $194.80	Facility		$53.08	$86.41	$194.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $66.34 / $66.34	Professional		$53.08	$66.34	$66.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.08 / $104.04	Facility		$53.08	$53.08	$104.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Facility		$47.49	$47.49	$47.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $79.97 / $193.30	Professional		$53.08	$79.97	$193.30
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $58.91	Professional		$53.08	$53.08	$58.91