Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $158.49	Facility		$42.66	$85.11	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $57.54	Professional		$30.90	$39.81	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $83.18	Facility		$30.90	$60.26	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $97.72	Professional		$23.44	$36.31	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $77.62 / $144.54	Facility		$47.86	$77.62	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $72.44	Professional		$29.51	$57.54	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $169.82	Professional		$52.48	$67.61	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $42.66 / $57.54	Facility		$28.18	$42.66	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $87.10	Professional		$19.95	$31.62	$87.10