Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.91 / $92.91 / $92.91	Facility		$92.91	$92.91	$92.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $92.91 / $117.31	Professional		$64.11	$92.91	$117.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $122.01 / $271.45	Professional		$84.02	$122.01	$271.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.72 / $146.72 / $287.58	Facility		$124.72	$146.72	$287.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $124.72 / $124.72	Professional		$124.72	$124.72	$124.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $166.67	Professional		$74.93	$74.93	$166.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $146.72 / $205.39	Professional		$111.51	$146.72	$205.39
United Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $82.22 / $98.52	Facility		$43.15	$82.22	$98.52
United Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $70.15 / $122.01	Professional		$48.80	$70.15	$122.01