Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $48.72 / $78.28	Facility		$28.72	$48.72	$78.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $42.89 / $81.70	Professional		$28.42	$42.89	$81.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $43.93 / $78.72	Professional		$28.43	$43.93	$78.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $56.85 / $87.17	Facility		$48.26	$56.85	$87.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $47.58 / $2,500.00	Facility		$31.60	$47.58	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $57.64 / $102.71	Professional		$35.25	$57.64	$102.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $52.22 / $106.09	Professional		$32.39	$52.22	$106.09
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $64.38 / $98.46	Professional		$38.61	$64.38	$98.46