Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $114.46 / $196.98	Facility		$41.32	$114.46	$196.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $49.71 / $59.03	Professional		$37.28	$49.71	$59.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $68.34 / $189.32	Facility		$45.77	$68.34	$189.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $45.77 / $96.97	Professional		$34.32	$45.77	$96.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $62.14 / $99.42	Facility		$42.75	$62.14	$99.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.78 / $136.71 / $172.08	Facility		$80.78	$136.71	$172.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $75.58 / $94.48	Professional		$71.45	$75.58	$94.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $71.45 / $80.78	Professional		$68.34	$71.45	$80.78
United Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $55.93 / $55.93	Facility		$55.93	$55.93	$55.93
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.28 / $62.14	Professional		$26.10	$37.28	$62.14