Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $74.48 / $198.98	Facility		$74.48	$74.48	$198.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $87.38 / $104.18	Professional		$59.37	$87.38	$104.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $112.02 / $143.63	Facility		$11.47	$112.02	$143.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.91 / $112.02	Professional		$5.18	$6.91	$112.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $112.02 / $179.23	Facility		$112.02	$112.02	$179.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.35 / $246.44 / $311.27	Facility		$167.35	$246.44	$311.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $136.69 / $170.88	Professional		$128.44	$136.69	$170.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.22 / $128.82 / $145.63	Professional		$123.22	$128.82	$145.63
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $67.20 / $196.09	Professional		$47.05	$67.20	$196.09