Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $78.92 / $200.47	Facility		$51.41	$78.92	$200.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $78.92 / $82.86	Professional		$54.49	$78.92	$82.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $128.47 / $289.64	Facility		$78.92	$128.47	$289.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $154.68	Facility		$78.92	$78.92	$154.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $74.45 / $78.92	Facility		$74.45	$74.45	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $225.00 / $364.00	Professional		$61.49	$225.00	$364.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $83.66 / $101.02	Professional		$78.92	$83.66	$101.02