Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $109.65 / $173.78	Facility		$40.74	$109.65	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $61.66	Professional		$40.74	$47.86	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $67.61 / $79.43	Facility		$40.74	$67.61	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $61.66 / $61.66	Professional		$31.62	$61.66	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $190.55	Facility		$95.50	$138.04	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $95.50	Professional		$70.79	$75.86	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $81.28	Professional		$67.61	$70.79	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $56.23 / $61.66	Facility		$33.88	$56.23	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $89.13	Professional		$26.30	$37.15	$89.13