Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $114.82	Facility		$43.65	$43.65	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $83.18	Professional		$39.81	$47.86	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $229.09 / $354.81	Facility		$95.50	$229.09	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $120.23	Professional		$51.29	$77.62	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $147.91	Facility		$58.88	$58.88	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $109.65	Professional		$42.66	$42.66	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $169.82	Professional		$63.10	$95.50	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $40.74 / $56.23	Facility		$26.30	$40.74	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $81.28	Professional		$31.62	$45.71	$81.28