Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $72.20 / $249.32	Facility		$44.23	$72.20	$249.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $62.92 / $80.37	Professional		$39.33	$62.92	$80.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.22 / $85.41 / $272.13	Facility		$51.22	$85.41	$272.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $31.46 / $91.88	Professional		$23.59	$31.46	$91.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $78.65 / $125.84	Facility		$56.39	$78.65	$125.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.35 / $123.72 / $173.03	Facility		$50.35	$123.72	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $95.82 / $119.78	Professional		$27.98	$95.82	$119.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $102.25 / $142.19	Professional		$85.94	$102.25	$142.19
United Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $34.65 / $78.65	Professional		$24.33	$34.65	$78.65