Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.17 / $56.17 / $56.17	Facility		$56.17	$56.17	$56.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $56.17 / $56.17	Professional		$54.14	$56.17	$56.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $61.19 / $61.19	Facility		$56.40	$61.19	$61.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $64.30 / $64.30	Professional		$56.40	$64.30	$64.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $59.22 / $116.07	Facility		$57.53	$59.22	$116.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $185.00 / $286.00	Professional		$57.53	$185.00	$286.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $62.22	Professional		$56.40	$56.40	$62.22