Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $149.24 / $275.66	Facility		$57.83	$149.24	$275.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $69.56 / $126.94	Professional		$57.83	$69.56	$126.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $111.10 / $300.88	Facility		$62.76	$111.10	$300.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $42.94 / $174.20	Professional		$32.20	$42.94	$174.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $86.96 / $139.13	Facility		$58.00	$86.96	$139.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $191.31 / $268.56	Facility		$76.18	$191.31	$268.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $106.14 / $132.68	Professional		$51.18	$106.14	$132.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $113.05 / $312.33	Professional		$95.02	$113.05	$312.33
United Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $61.58 / $121.46	Professional		$44.35	$61.58	$121.46