Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $59.04 / $17,228.70	Facility		$26.50	$59.04	$17,228.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $28.12 / $41.35	Professional		$27.85	$28.12	$41.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $45.32 / $102.17	Facility		$27.84	$45.32	$102.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $28.40	Professional		$27.85	$27.85	$28.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $27.85 / $54.78	Facility		$27.85	$27.85	$54.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $22.17 / $27.85	Facility		$22.17	$22.17	$27.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $219.00 / $271.00	Professional		$23.59	$219.00	$271.00
United Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $68.59 / $68.59	Facility		$26.44	$68.59	$68.59
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $29.52 / $35.65	Professional		$27.85	$29.52	$35.65