Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $92.21 / $162.65	Facility		$34.11	$92.21	$162.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $47.21 / $69.43	Professional		$30.79	$47.21	$69.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $56.70 / $177.53	Facility		$34.49	$56.70	$177.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $25.34 / $78.55	Professional		$21.82	$25.34	$78.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $74.40 / $110.28	Facility		$51.31	$74.40	$110.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.28 / $83.38 / $157.78	Facility		$51.28	$83.38	$157.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $66.06 / $174.73	Professional		$25.64	$66.06	$174.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $66.70 / $399.79	Professional		$46.18	$66.70	$399.79
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.33 / $93.24	Professional		$21.55	$30.33	$93.24