Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $57.43 / $84.42	Facility		$56.10	$57.43	$84.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.66 / $69.48	Professional		$56.10	$56.66	$69.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $91.33 / $205.89	Facility		$56.10	$91.33	$205.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $56.10 / $56.10	Professional		$52.75	$56.10	$56.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $109.96	Facility		$56.10	$56.10	$109.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $52.93 / $56.10	Facility		$52.93	$52.93	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $50.00 / $123.00	Professional		$47.35	$50.00	$123.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $66.30	Professional		$56.10	$56.10	$66.30