Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.13 / $97.29 / $233.98	Facility		$36.13	$97.29	$233.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $87.94 / $135.03	Professional		$73.79	$87.94	$135.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $86.00 / $92.24	Facility		$73.09	$86.00	$92.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $82.95 / $82.95	Professional		$66.36	$82.95	$82.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $73.79 / $144.63	Facility		$73.79	$73.79	$144.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $69.62 / $93.78	Facility		$69.62	$69.62	$93.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $93.78 / $93.78	Professional		$93.78	$93.78	$93.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $78.77 / $84.96	Professional		$2.13	$78.77	$84.96
United Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $98.84 / $117.70	Professional		$84.94	$98.84	$117.70