Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $94.00 / $225.80	Facility		$47.37	$94.00	$225.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $56.98 / $102.89	Professional		$42.74	$56.98	$102.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $77.64 / $246.46	Facility		$47.29	$77.64	$246.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $28.49 / $113.73	Professional		$21.36	$28.49	$113.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $71.23 / $113.97	Facility		$37.50	$71.23	$113.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $139.05 / $163.40	Facility		$58.00	$139.05	$163.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $86.73 / $108.41	Professional		$32.51	$86.73	$108.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $92.60 / $188.03	Professional		$77.83	$92.60	$188.03
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $42.74 / $124.69	Professional		$30.71	$42.74	$124.69