Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $87.10 / $169.82	Facility		$45.71	$87.10	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $74.13	Professional		$33.11	$44.67	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $63.10 / $83.18	Facility		$33.11	$63.10	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $102.33	Professional		$25.12	$38.90	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $154.88	Facility		$54.95	$81.28	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $61.66 / $77.62	Professional		$28.18	$61.66	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $181.97	Professional		$54.95	$72.44	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $45.71 / $60.26	Facility		$27.54	$45.71	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.88 / $93.33	Professional		$21.38	$33.88	$93.33