Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $114.82 / $181.97	Facility		$41.69	$114.82	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $64.57	Professional		$41.69	$50.12	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $69.18 / $83.18	Facility		$23.99	$69.18	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $64.57 / $64.57	Professional		$12.02	$64.57	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $141.25 / $194.98	Facility		$100.00	$141.25	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $97.72	Professional		$74.13	$77.62	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $83.18	Professional		$70.79	$74.13	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $57.54 / $64.57	Facility		$35.48	$57.54	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $131.83	Professional		$26.92	$38.90	$131.83