Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $154.88	Facility		$58.88	$58.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $112.20	Professional		$47.86	$61.66	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $302.00 / $467.74	Facility		$128.82	$302.00	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $158.49	Professional		$60.26	$104.71	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $181.97	Facility		$83.18	$83.18	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $151.36	Professional		$61.66	$61.66	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $181.97	Professional		$72.44	$128.82	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $47.86 / $72.44	Facility		$30.20	$47.86	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $109.65	Professional		$40.74	$60.26	$109.65