Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.99 / $140.00 / $288.80	Facility		$42.99	$140.00	$288.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $62.22 / $74.67	Professional		$45.11	$62.22	$74.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $84.46 / $269.12	Facility		$32.32	$84.46	$269.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $31.11 / $70.00	Professional		$23.33	$31.11	$70.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $77.78 / $124.45	Facility		$55.35	$77.78	$124.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.83 / $122.35 / $171.12	Facility		$47.83	$122.35	$171.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $94.99 / $118.74	Professional		$26.70	$94.99	$118.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $101.11 / $216.80	Professional		$84.99	$101.11	$216.80
United Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $32.67 / $77.78	Professional		$17.20	$32.67	$77.78