Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $75.45 / $133.55	Facility		$42.13	$75.45	$133.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $50.25	Professional		$42.13	$42.13	$50.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $45.92 / $54.03	Facility		$25.66	$45.92	$54.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $16.85 / $52.23	Professional		$12.63	$16.85	$52.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $58.98 / $82.57	Facility		$42.13	$58.98	$82.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $92.69 / $92.69	Facility		$41.92	$92.69	$92.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $42.13 / $59.97	Professional		$22.33	$42.13	$59.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $59.82 / $128.00	Professional		$46.34	$59.82	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $25.28 / $46.92	Professional		$18.96	$25.28	$46.92