Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $107.15 / $194.98	Facility		$52.48	$107.15	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $69.18	Professional		$38.02	$48.98	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $74.13 / $100.00	Facility		$38.02	$74.13	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $120.23	Professional		$28.84	$44.67	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $89.13	Professional		$66.07	$70.79	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $208.93	Professional		$63.10	$83.18	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $52.48 / $69.18	Facility		$33.88	$52.48	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $107.15	Professional		$24.55	$40.74	$107.15