Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.45 / $141.66 / $254.77	Facility		$53.45	$141.66	$254.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $64.30 / $143.79	Professional		$53.45	$64.30	$143.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $96.44 / $278.08	Facility		$27.78	$96.44	$278.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $13.23 / $161.66	Professional		$9.92	$13.23	$161.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $80.37 / $128.59	Facility		$53.61	$80.37	$128.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.81 / $176.81 / $247.66	Facility		$69.81	$176.81	$247.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $97.88 / $122.35	Professional		$48.58	$97.88	$122.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $104.48 / $288.61	Professional		$87.82	$104.48	$288.61
United Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $58.65 / $112.23	Professional		$36.17	$58.65	$112.23