Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $160.08 / $449.28	Facility		$45.67	$160.08	$449.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $63.02 / $89.21	Professional		$41.43	$63.02	$89.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $82.11 / $239.98	Facility		$38.71	$82.11	$239.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $31.51 / $75.15	Professional		$23.63	$31.51	$75.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $78.77 / $126.03	Facility		$45.21	$78.77	$126.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $51.20 / $78.77	Professional		$51.20	$51.20	$78.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $123.91 / $173.29	Facility		$36.19	$123.91	$173.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $90.86 / $119.78	Professional		$32.18	$90.86	$119.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $90.59 / $118.67	Professional		$78.77	$90.59	$118.67
United Facility/Professional Facility Modifier Low / Median / High Price $70.89 / $70.89 / $70.89	Facility		$70.89	$70.89	$70.89
United Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $33.08 / $78.77	Professional		$19.03	$33.08	$78.77