Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.29 / $63.64	Facility		$43.19	$43.29	$63.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.29 / $52.38	Professional		$43.19	$43.29	$52.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $70.31 / $158.51	Facility		$43.19	$70.31	$158.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $43.19 / $43.19	Professional		$41.83	$43.19	$43.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.19 / $84.65	Facility		$43.19	$43.19	$84.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $43.19	Facility		$40.75	$40.75	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $119.00 / $184.00	Professional		$42.64	$119.00	$184.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $47.83	Professional		$43.19	$43.19	$47.83