Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $100.62 / $213.53	Facility		$15.12	$100.62	$213.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $52.54 / $63.99	Professional		$33.60	$52.54	$63.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $74.09 / $233.07	Facility		$21.33	$74.09	$233.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $33.26 / $60.62	Professional		$20.95	$33.26	$60.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $67.36 / $107.78	Facility		$45.96	$67.36	$107.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $148.19 / $207.94	Facility		$66.00	$148.19	$207.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $82.19 / $102.74	Professional		$41.55	$82.19	$102.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $77.45 / $101.48	Professional		$48.60	$77.45	$101.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $28.29 / $94.11	Professional		$9.58	$28.29	$94.11