Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $117.12 / $134.03	Facility		$42.28	$117.12	$134.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $50.25	Professional		$42.28	$42.28	$50.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $37.65 / $54.22	Facility		$18.09	$37.65	$54.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $16.91 / $43.54	Professional		$12.68	$16.91	$43.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $59.19 / $82.87	Facility		$42.13	$59.19	$82.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $93.02 / $119.45	Facility		$47.40	$93.02	$119.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $48.57 / $60.71	Professional		$42.28	$48.57	$60.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $48.62 / $54.96	Professional		$46.51	$48.62	$54.96
United Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $25.28 / $48.38	Professional		$19.03	$25.28	$48.38