Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $115.83 / $204.18	Facility		$42.83	$115.83	$204.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $56.04 / $94.04	Professional		$42.83	$56.04	$94.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $82.29 / $222.86	Facility		$46.49	$82.29	$222.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $31.81 / $126.37	Professional		$23.85	$31.81	$126.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $64.41 / $103.06	Facility		$43.95	$64.41	$103.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $141.69 / $198.52	Facility		$60.29	$141.69	$198.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $78.47 / $98.09	Professional		$39.72	$78.47	$98.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $83.73 / $231.41	Professional		$70.38	$83.73	$231.41
United Facility/Professional Facility Modifier Low / Median / High Price $57.97 / $57.97 / $79.69	Facility		$57.97	$57.97	$79.69
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $45.62 / $89.99	Professional		$37.79	$45.62	$89.99