Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $48.38 / $100.76	Facility		$47.53	$48.38	$100.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.00 / $58.54	Professional		$47.53	$48.00	$58.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $77.36 / $174.40	Facility		$47.52	$77.36	$174.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $109.35 / $110.72	Professional		$41.63	$109.35	$110.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $47.53 / $93.48	Facility		$47.53	$47.53	$93.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $44.83 / $47.52	Facility		$44.83	$44.83	$47.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Professional		$47.52	$47.52	$47.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $73.29 / $73.29	Professional		$38.22	$73.29	$73.29
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $83.18	Professional		$47.53	$47.53	$83.18