Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.99 / $64.91 / $106.97	Facility		$44.99	$64.91	$106.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $62.67 / $114.42	Professional		$41.01	$62.67	$114.42
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 $44.38 / $65.69 / $115.52	Professional		$44.38	$65.69	$115.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.37 / $98.37 / $98.37	Facility		$98.37	$98.37	$98.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $75.72 / $2,500.00	Facility		$48.95	$75.72	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $80.97 / $141.05	Professional		$50.68	$80.97	$141.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $78.53 / $159.83	Professional		$52.61	$78.53	$159.83
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 $53.99 / $85.90 / $147.44	Professional		$53.99	$85.90	$147.44