Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.70 / $129.83 / $154.29	Facility		$55.70	$129.83	$154.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $67.01 / $80.41	Professional		$7.89	$67.01	$80.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $85.44 / $108.89	Facility		$46.38	$85.44	$108.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $45.77 / $86.27	Professional		$34.32	$45.77	$86.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $117.26 / $180.02	Facility		$54.44	$117.26	$180.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.12 / $184.27 / $232.28	Facility		$125.12	$184.27	$232.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $102.01 / $127.51	Professional		$96.23	$102.01	$127.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $96.32 / $108.89	Professional		$92.14	$96.32	$108.89
United Facility/Professional Facility Modifier Low / Median / High Price $75.38 / $75.38 / $75.38	Facility		$75.38	$75.38	$75.38
United Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $50.26 / $83.76	Professional		$36.85	$50.26	$83.76