Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $131.83 / $275.42	Facility		$70.79	$131.83	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $81.28	Professional		$53.70	$64.57	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $93.33 / $120.23	Facility		$53.70	$93.33	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $112.20	Professional		$33.88	$33.88	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $131.83 / $251.19	Facility		$81.28	$131.83	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $100.00 / $125.89	Professional		$42.66	$100.00	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $154.88	Professional		$89.13	$117.49	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $74.13 / $85.11	Facility		$39.81	$74.13	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $128.82	Professional		$34.67	$48.98	$128.82