Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.34 / $61.92 / $184.43	Facility		$40.34	$61.92	$184.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.22 / $121.86	Professional		$69.20	$69.22	$121.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.76 / $79.23 / $283.91	Facility		$73.76	$79.23	$283.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $69.62 / $69.62	Professional		$69.62	$69.62	$69.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $71.25 / $139.65	Facility		$69.22	$71.25	$139.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $78.00 / $266.00	Professional		$69.22	$78.00	$266.00
United Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $81.43 / $96.70	Professional		$77.36	$81.43	$96.70