Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $165.71 / $326.51	Facility		$68.50	$165.71	$326.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $82.40 / $179.01	Professional		$68.50	$82.40	$179.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $124.80 / $356.38	Facility		$74.34	$124.80	$356.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $50.87 / $191.24	Professional		$38.15	$50.87	$191.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $103.00 / $164.80	Facility		$68.70	$103.00	$164.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.31 / $226.60 / $317.66	Facility		$91.31	$226.60	$317.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $125.55 / $156.94	Professional		$56.83	$125.55	$156.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $133.90 / $326.20	Professional		$112.55	$133.90	$326.20
United Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $66.30 / $143.85	Professional		$47.25	$66.30	$143.85