Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $65.67 / $65.81	Facility		$65.67	$65.67	$65.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $123.46	Professional		$65.67	$65.67	$123.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $75.19 / $269.38	Facility		$69.98	$75.19	$269.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $67.59 / $132.50	Facility		$65.67	$67.59	$132.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $113.00 / $191.00	Professional		$56.01	$113.00	$191.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $91.75	Professional		$73.40	$77.26	$91.75