Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.71 / $55.20 / $86.54	Facility		$48.71	$55.20	$86.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $59.50 / $76.84	Professional		$49.45	$59.50	$76.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.04 / $71.04 / $71.04	Professional	25	$71.04	$71.04	$71.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $71.39 / $132.29	Professional		$58.31	$71.39	$132.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.98 / $99.98 / $196.25	Facility		$99.98	$99.98	$196.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $73.17 / $99.53	Professional		$55.23	$73.17	$99.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $116.77 / $116.79	Professional		$79.27	$116.77	$116.79
United Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $74.25 / $139.51	Professional		$60.54	$74.25	$139.51