Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.38 / $45.38 / $107.79	Facility		$45.38	$45.38	$107.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $47.59 / $65.55	Professional		$34.83	$47.59	$65.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $133.77 / $350.67	Facility		$95.55	$133.77	$350.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $79.45 / $152.54	Professional		$43.10	$79.45	$152.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $81.22 / $176.77	Facility		$60.92	$81.22	$176.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $81.22 / $81.22	Professional		$81.22	$81.22	$81.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $52.95	Facility		$52.95	$52.95	$52.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.95 / $95.88	Professional		$38.65	$52.95	$95.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $95.55 / $134.00	Professional		$72.62	$95.55	$134.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $45.68 / $94.34	Professional		$31.78	$45.68	$94.34