Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $43.74 / $103.90	Facility		$43.74	$43.74	$103.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $50.85 / $67.11	Professional		$38.15	$50.85	$67.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $128.94 / $338.04	Facility		$92.11	$128.94	$338.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $76.59 / $147.05	Professional		$45.98	$76.59	$147.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $85.70 / $170.40	Facility		$64.27	$85.70	$170.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $78.29 / $78.29	Professional		$78.29	$78.29	$78.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $79.79	Facility		$65.20	$65.20	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $60.59 / $101.26	Professional		$47.60	$60.59	$101.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $92.11 / $141.69	Professional		$70.00	$92.11	$141.69
United Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $44.03 / $75.81	Professional		$30.64	$44.03	$75.81