Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $8,971.49 / $27,505.08	Facility		$99.13	$8,971.49	$27,505.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $102.10 / $148.69	Professional		$99.13	$102.10	$148.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $161.38 / $363.81	Facility		$99.13	$161.38	$363.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $101.11	Professional		$99.13	$99.13	$101.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $194.29	Facility		$99.13	$99.13	$194.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $99.13	Facility		$93.52	$93.52	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $464.00 / $551.00	Professional		$125.30	$464.00	$551.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $105.08 / $126.89	Professional		$99.13	$105.08	$126.89