Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $49.03 / $71.18	Facility		$48.42	$49.03	$71.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $49.03 / $58.59	Professional		$48.42	$49.03	$58.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $79.81 / $179.94	Facility		$49.03	$79.81	$179.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $49.03 / $49.03	Professional		$39.22	$49.03	$49.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $96.10	Facility		$49.03	$49.03	$96.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $46.26 / $49.03	Facility		$46.26	$46.26	$49.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.11 / $54.36	Professional		$22.11	$22.11	$54.36
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $54.92	Professional		$49.03	$49.03	$54.92