Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $147.91	Facility		$34.67	$93.33	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $52.48	Professional		$34.67	$40.74	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $57.54 / $67.61	Facility		$10.00	$57.54	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $52.48 / $52.48	Professional		$5.01	$52.48	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $158.49	Facility		$81.28	$114.82	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $81.28	Professional		$60.26	$64.57	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $69.18	Professional		$57.54	$60.26	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $47.86 / $52.48	Facility		$28.84	$47.86	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $75.86	Professional		$22.39	$31.62	$75.86