Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $53.51 / $255.06	Facility		$11.39	$53.51	$255.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $63.56 / $77.23	Professional		$18.52	$63.56	$77.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $87.37 / $278.39	Facility		$13.58	$87.37	$278.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $32.18 / $72.41	Professional		$12.63	$32.18	$72.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $80.45 / $128.74	Facility		$41.11	$80.45	$128.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $126.56 / $177.01	Facility		$11.01	$126.56	$177.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $97.88 / $122.35	Professional		$6.03	$97.88	$122.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $92.53 / $121.22	Professional		$30.94	$92.53	$121.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $12.03 / $80.45	Professional		$6.00	$12.03	$80.45