Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $63.29 / $194.96	Facility		$40.90	$63.29	$194.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $49.20 / $59.04	Professional		$36.90	$49.20	$59.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $66.78 / $212.79	Facility		$40.04	$66.78	$212.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $24.60 / $77.92	Professional		$18.45	$24.60	$77.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $61.50 / $98.40	Facility		$37.01	$61.50	$98.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $107.03 / $135.30	Facility		$43.74	$107.03	$135.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $74.75 / $93.44	Professional		$24.32	$74.75	$93.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $79.95 / $123.44	Professional		$67.20	$79.95	$123.44
United Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $30.10 / $61.50	Professional		$21.12	$30.10	$61.50