Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $97.56 / $213.06	Facility		$44.69	$97.56	$213.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $57.13 / $120.24	Professional		$44.69	$57.13	$120.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.51 / $85.87 / $232.55	Facility		$48.51	$85.87	$232.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $33.19 / $134.62	Professional		$24.89	$33.19	$134.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $67.20 / $107.54	Facility		$44.83	$67.20	$107.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $147.86 / $195.26	Facility		$59.77	$147.86	$195.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $81.77 / $102.21	Professional		$33.46	$81.77	$102.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $87.37 / $241.42	Professional		$73.44	$87.37	$241.42
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $49.06 / $93.88	Professional		$28.23	$49.06	$93.88