Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $83.18 / $123.03	Facility		$33.11	$83.18	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $67.61	Professional		$23.99	$32.36	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $46.77 / $89.13	Facility		$23.99	$46.77	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $114.82	Professional		$18.20	$32.36	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $112.20	Facility		$42.66	$70.79	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $56.23	Professional		$34.67	$44.67	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $204.17	Professional		$39.81	$52.48	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $33.11 / $47.86	Facility		$32.36	$33.11	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $38.02 / $79.43	Professional		$15.49	$38.02	$79.43