Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $68.48 / $86.48	Professional		$47.26	$68.48	$86.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $89.93 / $198.58	Professional		$62.69	$89.93	$198.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.94 / $108.17 / $212.01	Facility		$91.94	$108.17	$212.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $91.94 / $91.94	Professional		$91.94	$91.94	$91.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $126.76 / $126.76	Facility		$126.76	$126.76	$126.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $125.25	Professional		$44.13	$44.13	$125.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $108.17 / $151.57	Professional		$82.21	$108.17	$151.57
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $51.71 / $89.93	Professional		$35.97	$51.71	$89.93