Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $117.49	Facility		$44.67	$44.67	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $85.11	Professional		$33.88	$45.71	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $354.81	Facility		$97.72	$229.09	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $120.23	Professional		$42.66	$79.43	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $128.82	Facility		$52.48	$52.48	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $109.65	Professional		$38.90	$38.90	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $134.90	Professional		$53.70	$97.72	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $35.48 / $47.86	Facility		$22.39	$35.48	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $83.18	Professional		$29.51	$45.71	$83.18