Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $75.91 / $107.55	Facility		$73.16	$75.91	$107.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $76.66 / $112.72	Professional		$75.90	$76.66	$112.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $123.58 / $278.58	Facility		$75.91	$123.58	$278.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $75.91 / $75.91	Professional		$63.80	$75.91	$75.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $75.91 / $148.78	Facility		$75.91	$75.91	$148.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $71.61 / $75.91	Facility		$71.61	$71.61	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $76.00 / $184.00	Professional		$48.73	$76.00	$184.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $84.86	Professional		$75.91	$75.91	$84.86