Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $76.90 / $472.14	Facility		$27.77	$76.90	$472.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $37.57 / $90.62	Professional		$27.77	$37.57	$90.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $53.35 / $144.49	Facility		$30.14	$53.35	$144.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $20.62 / $88.76	Professional		$20.62	$20.62	$88.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $60.55 / $89.75	Facility		$41.76	$60.55	$89.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $67.84 / $128.52	Facility		$41.60	$67.84	$128.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $56.25 / $114.27	Professional		$20.88	$56.25	$114.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $59.30 / $326.38	Professional		$41.76	$59.30	$326.38
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $30.48 / $75.88	Professional		$17.54	$30.48	$75.88