Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.76 / $98.20 / $133.37	Facility		$33.76	$98.20	$133.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $47.64 / $70.31	Professional		$45.41	$47.64	$70.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.31 / $52.13 / $55.91	Facility		$44.31	$52.13	$55.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $45.62 / $45.62	Professional		$36.49	$45.62	$45.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $50.07 / $97.63	Facility		$27.06	$50.07	$97.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $25.81 / $32.49	Professional		$3.20	$25.81	$32.49
United Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $53.53 / $61.98	Professional		$44.73	$53.53	$61.98