Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $56.09 / $82.45	Facility		$50.37	$56.09	$82.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.87 / $67.87	Professional		$50.37	$50.87	$67.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $81.99 / $184.82	Facility		$50.36	$81.99	$184.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $50.37 / $51.37	Professional		$45.01	$50.37	$51.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $98.73	Facility		$50.37	$50.37	$98.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $47.51 / $50.37	Facility		$47.51	$47.51	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $42.80 / $66.02	Professional		$42.80	$42.80	$66.02
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $53.39 / $64.47	Professional		$50.37	$53.39	$64.47