Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $42.48 / $60.86	Facility		$41.40	$42.48	$60.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $42.48 / $50.09	Professional		$41.40	$42.48	$50.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $69.16 / $155.90	Facility		$42.48	$69.16	$155.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $83.26	Facility		$42.48	$42.48	$83.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $40.07 / $42.48	Facility		$40.07	$40.07	$42.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $123.00 / $176.00	Professional		$47.65	$123.00	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $48.88	Professional		$42.48	$42.48	$48.88