Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.67 / $61.67 / $61.67	Facility		$61.67	$61.67	$61.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $61.67 / $75.00	Professional		$52.82	$61.67	$75.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $136.32 / $173.52	Professional		$95.87	$136.32	$173.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.64 / $172.59 / $190.45	Facility		$166.64	$172.59	$190.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $65.45 / $112.59	Facility		$65.45	$65.45	$112.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $81.14	Professional		$47.79	$47.79	$81.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $108.62 / $180.00	Professional		$98.34	$108.62	$180.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $59.38 / $137.97	Professional		$39.58	$59.38	$137.97