Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $114.82 / $181.97	Facility		$36.31	$114.82	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $125.89	Professional		$36.31	$45.71	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $72.44	Facility		$29.51	$58.88	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $37.15	Professional		$16.98	$21.88	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $89.13 / $165.96	Facility		$53.70	$89.13	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $61.66 / $77.62	Professional		$24.55	$61.66	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $102.33	Professional		$58.88	$63.10	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $53.70	Facility		$30.20	$48.98	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $79.43	Professional		$22.91	$32.36	$79.43