Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $47.86	Facility		$42.66	$42.66	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $79.43	Professional		$42.66	$54.95	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $316.23 / $380.19	Facility		$104.71	$316.23	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $125.89	Professional		$52.48	$85.11	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $125.89	Professional		$43.65	$43.65	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $173.78	Professional		$67.61	$104.71	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $64.57	Facility		$30.90	$44.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $93.33	Professional		$33.88	$50.12	$93.33