Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $42.83 / $114.41	Facility		$42.83	$42.83	$114.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $51.53 / $61.19	Professional		$38.65	$51.53	$61.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $64.41 / $82.60	Facility		$25.07	$64.41	$82.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.94 / $81.16	Professional		$8.94	$11.94	$81.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $77.29 / $103.06	Facility		$64.41	$77.29	$103.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.23 / $141.69 / $178.67	Facility		$96.23	$141.69	$178.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $78.47 / $98.09	Professional		$73.93	$78.47	$98.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $74.06 / $83.73	Professional		$70.84	$74.06	$83.73
United Facility/Professional Facility Modifier Low / Median / High Price $57.97 / $57.97 / $57.97	Facility		$57.97	$57.97	$57.97
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $93.39	Professional		$27.05	$38.65	$93.39