Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $109.22 / $155.40	Facility		$48.09	$109.22	$155.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $29.22 / $42.01	Professional		$20.32	$29.22	$42.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $39.82 / $126.39	Facility		$24.25	$39.82	$126.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $14.61 / $56.73	Professional		$10.95	$14.61	$56.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $36.53 / $58.45	Facility		$28.65	$36.53	$58.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $71.13 / $83.33	Facility		$36.44	$71.13	$83.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $44.60 / $55.75	Professional		$16.70	$44.60	$55.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $47.49 / $55.04	Professional		$39.92	$47.49	$55.04
United Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $21.92 / $37.39	Professional		$16.44	$21.92	$37.39