Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.73 / $52.73 / $52.73	Facility		$52.73	$52.73	$52.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $52.73 / $56.68	Professional		$52.09	$52.73	$56.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.12 / $91.36 / $205.96	Facility		$56.12	$91.36	$205.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $60.35 / $60.35	Professional		$52.94	$60.35	$60.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $55.59 / $108.95	Facility		$54.00	$55.59	$108.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Facility		$54.00	$54.00	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $55.07 / $55.07	Professional		$35.77	$55.07	$55.07
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $63.53	Professional		$52.94	$52.94	$63.53