Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.83 / $115.83 / $311.01	Facility		$70.83	$115.83	$311.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $78.48 / $94.19	Professional		$58.87	$78.48	$94.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.14 / $106.54 / $339.46	Facility		$65.14	$106.54	$339.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $39.24 / $137.53	Professional		$29.43	$39.24	$137.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $98.11 / $156.97	Facility		$63.53	$98.11	$156.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $63.77 / $98.11	Professional		$63.77	$63.77	$98.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $200.99 / $215.84	Facility		$81.81	$200.99	$215.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $119.77 / $149.71	Professional		$44.74	$119.77	$149.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $122.57 / $147.81	Professional		$107.21	$122.57	$147.81
United Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $88.30 / $88.30	Facility		$88.30	$88.30	$88.30
United Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $54.74 / $131.43	Professional		$41.21	$54.74	$131.43