Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $165.96 / $309.03	Facility		$81.28	$165.96	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $109.65	Professional		$60.26	$79.43	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $117.49 / $158.49	Facility		$58.88	$117.49	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $186.21	Professional		$44.67	$70.79	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $147.91 / $275.42	Facility		$91.20	$147.91	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $138.04	Professional		$54.95	$112.20	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $331.13	Professional		$100.00	$128.82	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $81.28 / $109.65	Facility		$52.48	$81.28	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $165.96	Professional		$38.02	$61.66	$165.96