Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $64.19 / $287.30	Facility		$42.69	$64.19	$287.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $51.35 / $60.98	Professional		$38.51	$51.35	$60.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $69.70 / $222.10	Facility		$40.49	$69.70	$222.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $25.68 / $79.16	Professional		$19.26	$25.68	$79.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $64.19 / $102.70	Facility		$45.26	$64.19	$102.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $100.97 / $141.22	Facility		$58.00	$100.97	$141.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $78.06 / $97.58	Professional		$20.72	$78.06	$97.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $73.81 / $96.71	Professional		$56.47	$73.81	$96.71
United Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $28.89 / $64.19	Professional		$20.25	$28.89	$64.19