Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $77.39 / $113.59	Facility		$77.27	$77.39	$113.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $77.39 / $93.50	Professional		$77.27	$77.39	$93.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $125.99 / $284.02	Facility		$77.39	$125.99	$284.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $82.47 / $85.80	Professional		$68.95	$82.47	$85.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $77.39 / $151.68	Facility		$77.39	$77.39	$151.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $73.01 / $77.39	Facility		$73.01	$73.01	$77.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $240.00 / $262.00	Professional		$69.08	$240.00	$262.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $90.32	Professional		$77.39	$77.39	$90.32