Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.94 / $109.35 / $172.95	Facility		$69.94	$109.35	$172.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $77.41 / $128.79	Professional		$70.37	$77.41	$128.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $82.03 / $258.29	Facility		$70.38	$82.03	$258.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $70.19 / $70.19	Professional		$61.47	$70.19	$70.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $137.94	Facility		$70.38	$70.38	$137.94
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 $37.33 / $75.08 / $77.42	Professional		$37.33	$75.08	$77.42
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $86.54 / $100.09	Professional		$72.23	$86.54	$100.09