Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $104.25 / $474.39	Facility		$38.57	$104.25	$474.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $46.40 / $103.75	Professional		$38.57	$46.40	$103.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $74.09 / $200.68	Facility		$41.86	$74.09	$200.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $28.64 / $116.67	Professional		$21.48	$28.64	$116.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $58.00 / $92.80	Facility		$46.55	$58.00	$92.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $70.62 / $88.28	Professional		$66.48	$70.62	$88.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $75.40 / $208.35	Professional		$63.38	$75.40	$208.35
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $42.84 / $105.97	Professional		$26.10	$42.84	$105.97