Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $83.18 / $154.88	Facility		$41.69	$83.18	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $54.95	Professional		$30.20	$39.81	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $58.88 / $79.43	Facility		$30.20	$58.88	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $93.33	Professional		$22.91	$35.48	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $141.25	Facility		$51.29	$74.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $70.79	Professional		$28.18	$56.23	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $165.96	Professional		$50.12	$66.07	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $41.69 / $54.95	Facility		$27.54	$41.69	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $85.11	Professional		$19.50	$30.90	$85.11