Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $117.77 / $211.44	Facility		$44.36	$117.77	$211.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $58.03 / $87.78	Professional		$44.36	$58.03	$87.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $79.06 / $230.78	Facility		$48.14	$79.06	$230.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $32.94 / $119.96	Professional		$24.70	$32.94	$119.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $66.70 / $106.72	Facility		$44.49	$66.70	$106.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $146.74 / $205.84	Facility		$66.00	$146.74	$205.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $81.36 / $101.70	Professional		$43.54	$81.36	$101.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $86.71 / $204.60	Professional		$72.88	$86.71	$204.60
United Facility/Professional Facility Modifier Low / Median / High Price $60.03 / $60.03 / $60.03	Facility		$60.03	$60.03	$60.03
United Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $41.58 / $93.16	Professional		$30.60	$41.58	$93.16