Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $75.84 / $75.84	Facility		$74.45	$75.84	$75.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $75.84 / $89.24	Professional		$75.84	$75.84	$89.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $86.68 / $92.96	Facility		$73.68	$86.68	$92.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $84.78 / $88.24	Professional		$74.37	$84.78	$88.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $78.09 / $153.05	Facility		$75.84	$78.09	$153.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Facility		$83.29	$83.29	$83.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $47.11 / $57.83	Professional		$14.93	$47.11	$57.83
United Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $91.34 / $94.35	Professional		$74.37	$91.34	$94.35