Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $78.95 / $343.00	Facility		$42.69	$78.95	$343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $51.35 / $61.62	Professional		$32.10	$51.35	$61.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.95 / $69.70 / $222.10	Facility		$41.95	$69.70	$222.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $25.68 / $88.58	Professional		$19.26	$25.68	$88.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $64.19 / $102.70	Facility		$48.15	$64.19	$102.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $112.85 / $141.22	Facility		$58.00	$112.85	$141.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $78.06 / $97.58	Professional		$27.63	$78.06	$97.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $75.30 / $96.71	Professional		$70.14	$75.30	$96.71
United Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $32.64 / $65.48	Professional		$26.11	$32.64	$65.48