Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.83 / $122.43 / $218.48	Facility		$45.83	$122.43	$218.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $55.14 / $65.47	Professional		$41.35	$55.14	$65.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $82.70 / $238.46	Facility		$44.88	$82.70	$238.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $32.40 / $114.35	Professional		$24.30	$32.40	$114.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $96.49 / $148.13	Facility		$44.80	$96.49	$148.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $151.62 / $151.62	Facility		$66.00	$151.62	$151.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $92.51 / $104.80	Professional		$79.30	$92.51	$104.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $79.26 / $103.83	Professional		$75.31	$79.26	$103.83
United Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $44.80 / $81.03	Professional		$34.03	$44.80	$81.03