Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $49.50 / $49.50	Facility		$29.69	$49.50	$49.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $49.50 / $84.30	Professional		$40.00	$49.50	$84.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $57.69 / $181.67	Facility		$49.50	$57.69	$181.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $44.41 / $44.41	Professional		$35.52	$44.41	$44.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $97.02	Facility		$49.50	$49.50	$97.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Facility		$48.76	$48.76	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $60.00 / $75.00	Professional		$40.54	$60.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $52.10 / $54.43	Professional		$43.54	$52.10	$54.43