Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $203.26	Facility		$76.09	$76.09	$203.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $89.26 / $106.42	Professional		$60.65	$89.26	$106.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $114.43 / $146.72	Facility		$63.84	$114.43	$146.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $31.92 / $114.43	Professional		$23.94	$31.92	$114.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $183.09	Facility		$114.43	$114.43	$183.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $251.75 / $317.87	Facility		$180.00	$251.75	$317.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $139.59 / $174.49	Professional		$131.75	$139.59	$174.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $131.59 / $148.76	Professional		$125.87	$131.59	$148.76
United Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $68.66 / $114.43	Professional		$50.35	$68.66	$114.43