Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $92.17 / $143.38	Facility		$45.23	$92.17	$143.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $45.23 / $64.75	Professional		$45.23	$45.23	$64.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $49.35 / $58.86	Facility		$27.58	$49.35	$58.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $18.11 / $45.28	Professional		$13.58	$18.11	$45.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $63.39 / $88.75	Facility		$37.22	$63.39	$88.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $99.62 / $99.62	Facility		$45.15	$99.62	$99.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $45.22 / $64.15	Professional		$22.36	$45.22	$64.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $64.30 / $137.00	Professional		$49.81	$64.30	$137.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $45.23 / $52.01	Professional		$27.14	$45.23	$52.01