Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $81.02 / $139.44	Facility		$29.25	$81.02	$139.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $35.19 / $78.70	Professional		$26.39	$35.19	$78.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $56.20 / $152.21	Facility		$31.75	$56.20	$152.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $21.72 / $88.16	Professional		$16.29	$21.72	$88.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $43.99 / $70.38	Facility		$29.34	$43.99	$70.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $96.78 / $135.84	Facility		$43.86	$96.78	$135.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $53.69 / $67.11	Professional		$32.08	$53.69	$67.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $57.19 / $158.04	Professional		$48.07	$57.19	$158.04
United Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $25.20 / $54.99	Facility		$24.19	$25.20	$54.99
United Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $32.11 / $61.46	Professional		$24.19	$32.11	$61.46