Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.25 / $62.25 / $62.25	Facility		$62.25	$62.25	$62.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $62.25 / $62.25	Professional		$60.00	$62.25	$62.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $110.12 / $248.24	Facility		$67.64	$110.12	$248.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $71.25 / $252.98	Professional		$62.50	$71.25	$252.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $65.63 / $128.63	Facility		$63.75	$65.63	$128.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $114.04 / $114.04	Professional		$58.65	$114.04	$114.04
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $109.38	Professional		$62.50	$62.50	$109.38