Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $73.39 / $107.88	Facility		$71.52	$73.39	$107.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $72.23 / $98.21	Professional		$71.52	$72.23	$98.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $77.59 / $77.59	Facility		$71.52	$77.59	$77.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $72.95	Professional		$71.52	$71.52	$72.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $140.18	Facility		$71.52	$71.52	$140.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $67.47 / $71.52	Facility		$67.47	$67.47	$71.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $165.93 / $165.93	Professional		$80.33	$165.93	$165.93
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $125.16	Professional		$71.52	$71.52	$125.16