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 $60.26 / $75.86 / $107.15	Professional		$60.26	$75.86	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $83.18 / $154.88	Professional		$9.55	$83.18	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $186.21	Facility		$11.48	$11.48	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $100.00 / $154.88	Professional		$10.47	$100.00	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $128.82 / $208.93	Professional		$23.99	$128.82	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $50.12 / $87.10	Facility		$7.59	$50.12	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $138.04	Professional		$47.86	$75.86	$138.04