Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $115.83 / $278.58	Facility		$58.44	$115.83	$278.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $70.30 / $127.43	Professional		$52.73	$70.30	$127.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $95.78 / $304.06	Facility		$58.35	$95.78	$304.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $35.15 / $140.00	Professional		$26.36	$35.15	$140.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $87.88 / $140.61	Facility		$58.58	$87.88	$140.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $171.09 / $200.99	Facility		$60.29	$171.09	$200.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $106.97 / $133.71	Professional		$39.97	$106.97	$133.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $114.24 / $231.41	Professional		$96.03	$114.24	$231.41
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $52.73 / $136.36	Professional		$37.79	$52.73	$136.36