Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $89.74 / $133.55	Facility		$42.13	$89.74	$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 $9.13 / $19.14 / $46.44	Facility		$9.13	$19.14	$46.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $6.00 / $46.28	Professional		$4.50	$6.00	$46.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $77.15 / $100.80	Facility		$51.43	$77.15	$100.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $51.28 / $66.00	Facility		$28.71	$51.28	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $42.13 / $73.88	Professional		$27.26	$42.13	$73.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $73.03 / $128.00	Professional		$56.57	$73.03	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $25.28 / $90.03	Professional		$20.32	$25.28	$90.03