Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $124.73 / $259.56	Facility		$54.45	$124.73	$259.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $65.50 / $77.79	Professional		$48.11	$65.50	$77.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $89.24 / $283.30	Facility		$56.74	$89.24	$283.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $34.18 / $129.69	Professional		$25.63	$34.18	$129.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.25 / $81.88 / $131.01	Facility		$64.25	$81.88	$131.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $180.14 / $216.51	Facility		$66.00	$180.14	$216.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $99.95 / $124.94	Professional		$42.77	$99.95	$124.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $106.44 / $123.36	Professional		$89.47	$106.44	$123.36
United Facility/Professional Facility Modifier Low / Median / High Price $73.69 / $73.69 / $73.69	Facility		$73.69	$73.69	$73.69
United Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $52.78 / $95.13	Professional		$37.02	$52.78	$95.13