Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $75.15 / $75.15	Facility		$33.18	$75.15	$75.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $90.93	Professional		$75.15	$75.15	$90.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.14 / $87.59 / $275.76	Facility		$75.14	$87.59	$275.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $70.19 / $70.19	Professional		$67.63	$70.19	$70.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $75.15 / $147.29	Facility		$75.15	$75.15	$147.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $82.65 / $84.53	Professional		$47.98	$82.65	$84.53
United Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $86.51 / $93.83	Professional		$72.20	$86.51	$93.83