Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $87.10	Facility		$56.23	$56.23	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $66.07	Professional		$56.23	$56.23	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $309.03	Facility		$56.23	$91.20	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $56.23	Facility		$53.70	$53.70	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $79.43	Professional		$47.86	$57.54	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $102.33 / $144.54	Facility		$52.48	$102.33	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $75.86	Professional		$56.23	$56.23	$75.86