Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $81.72 / $162.65	Facility		$34.11	$81.72	$162.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $47.72 / $101.90	Professional		$34.11	$47.72	$101.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $63.35 / $177.53	Facility		$37.03	$63.35	$177.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $25.34 / $98.19	Professional		$25.34	$25.34	$98.19
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 $57.68 / $90.16 / $157.78	Facility		$57.68	$90.16	$157.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $46.46 / $153.83	Professional		$25.64	$46.46	$153.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $66.70 / $399.79	Professional		$51.31	$66.70	$399.79
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $31.68 / $93.24	Professional		$21.55	$31.68	$93.24