Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $116.72 / $205.67	Facility		$43.15	$116.72	$205.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $51.90 / $116.07	Professional		$43.15	$51.90	$116.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $82.89 / $224.48	Facility		$46.83	$82.89	$224.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $32.04 / $129.97	Professional		$24.03	$32.04	$129.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $64.88 / $103.81	Facility		$44.27	$64.88	$103.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.79 / $142.74 / $199.57	Facility		$60.79	$142.74	$199.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $78.88 / $98.60	Professional		$40.02	$78.88	$98.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $84.34 / $233.09	Professional		$70.90	$84.34	$233.09
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $47.36 / $118.54	Professional		$29.20	$47.36	$118.54