Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $145.22 / $302.80	Facility		$63.52	$145.22	$302.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $74.51 / $90.74	Professional		$56.13	$74.51	$90.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.18 / $104.11 / $330.50	Facility		$66.18	$104.11	$330.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $39.86 / $151.32	Professional		$29.90	$39.86	$151.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $95.52 / $152.83	Facility		$74.95	$95.52	$152.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $210.14 / $252.46	Facility		$71.98	$210.14	$252.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $116.47 / $145.59	Professional		$49.80	$116.47	$145.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.38 / $124.18 / $143.91	Professional		$104.38	$124.18	$143.91
United Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $52.54 / $119.40	Facility		$46.26	$52.54	$119.40
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $57.58 / $110.99	Professional		$43.19	$57.58	$110.99