Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $262.19 / $708.40	Facility		$72.81	$262.19	$708.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $72.81 / $125.91	Professional		$60.97	$72.81	$125.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $119.34 / $378.84	Facility		$72.70	$119.34	$378.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $43.80 / $170.20	Professional		$32.85	$43.80	$170.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $109.49 / $175.18	Facility		$85.88	$109.49	$175.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $213.36 / $250.82	Facility		$71.61	$213.36	$250.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $133.40 / $166.75	Professional		$49.81	$133.40	$166.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $142.34 / $164.96	Professional		$119.64	$142.34	$164.96
United Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $65.69 / $115.04	Professional		$49.27	$65.69	$115.04