Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $81.28	Professional		$53.70	$64.57	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $134.90	Professional		$60.26	$83.18	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $147.91	Professional		$58.88	$81.28	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $181.97	Professional		$74.13	$95.50	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $128.82	Professional		$52.48	$74.13	$128.82