Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $101.58 / $115.90	Facility		$24.31	$101.58	$115.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $31.81 / $82.44	Professional		$24.31	$31.81	$82.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $46.71 / $126.50	Facility		$26.39	$46.71	$126.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $18.05 / $102.54	Professional		$13.54	$18.05	$102.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $36.56 / $58.50	Facility		$29.35	$36.56	$58.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $80.43 / $112.84	Facility		$41.15	$80.43	$112.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $44.60 / $55.75	Professional		$34.83	$44.60	$55.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $47.53 / $202.85	Professional		$39.95	$47.53	$202.85
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $38.52 / $78.88	Professional		$15.36	$38.52	$78.88