Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $114.03 / $172.13	Facility		$36.11	$114.03	$172.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $49.96 / $62.45	Professional		$35.29	$49.96	$62.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.08 / $59.73 / $187.88	Facility		$33.08	$59.73	$187.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $21.72 / $48.87	Professional		$15.75	$21.72	$48.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $54.30 / $86.88	Facility		$49.03	$54.30	$86.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $104.36 / $137.66	Facility		$54.18	$104.36	$137.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $67.88 / $77.95	Professional		$54.30	$67.88	$77.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $62.45 / $81.81	Professional		$59.34	$62.45	$81.81
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.58 / $55.39	Professional		$22.81	$32.58	$55.39