Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $71.66 / $105.34	Facility		$66.64	$71.66	$105.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $67.31 / $86.71	Professional		$66.64	$67.31	$86.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $108.49 / $244.57	Facility		$66.64	$108.49	$244.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $101.45 / $106.28	Professional		$59.34	$101.45	$106.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $130.61	Facility		$66.64	$66.64	$130.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $66.64	Facility		$62.87	$62.87	$66.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $87.42 / $87.42	Professional		$58.96	$87.42	$87.42
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $101.96	Professional		$66.64	$66.64	$101.96