Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $55.48 / $81.56	Facility		$54.71	$55.48	$81.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $55.25 / $67.13	Professional		$54.71	$55.25	$67.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $89.07 / $200.79	Facility		$54.71	$89.07	$200.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $54.71 / $54.71	Professional		$50.35	$54.71	$54.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $107.23	Facility		$54.71	$54.71	$107.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $51.61 / $54.71	Facility		$51.61	$51.61	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $73.48 / $73.48	Professional		$61.55	$73.48	$73.48
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $72.98	Professional		$54.71	$54.71	$72.98