Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $42.69 / $114.03	Facility		$42.69	$42.69	$114.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $51.35 / $60.98	Professional		$38.51	$51.35	$60.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $64.19 / $82.31	Facility		$14.51	$64.19	$82.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.91 / $64.19	Professional		$5.18	$6.91	$64.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $89.87 / $137.97	Facility		$41.72	$89.87	$137.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.89 / $141.22 / $177.75	Facility		$95.89	$141.22	$177.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $78.06 / $97.58	Professional		$73.51	$78.06	$97.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $73.81 / $83.45	Professional		$70.61	$73.81	$83.45
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $38.51 / $64.19	Professional		$26.96	$38.51	$64.19