Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $98.65 / $176.06	Facility		$36.93	$98.65	$176.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $47.21 / $89.42	Professional		$36.93	$47.21	$89.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $61.37 / $192.17	Facility		$36.17	$61.37	$192.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $22.22 / $83.88	Professional		$16.66	$22.22	$83.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $55.54 / $88.86	Facility		$50.15	$55.54	$88.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $122.19 / $154.22	Facility		$58.00	$122.19	$154.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $74.38 / $84.66	Professional		$64.02	$74.38	$84.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $63.87 / $83.68	Professional		$60.69	$63.87	$83.68
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $33.32 / $56.66	Professional		$23.33	$33.32	$56.66