Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $632.49 / $2,163.98	Facility		$53.08	$632.49	$2,163.98
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 $36.47 / $57.59 / $93.58	Facility		$36.47	$57.59	$93.58
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 $45.90 / $45.90 / $45.90	Facility		$45.90	$45.90	$45.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $79.97 / $158.16	Professional		$53.08	$79.97	$158.16
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $56.26	Professional		$53.08	$53.08	$56.26