Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $47.29 / $112.34	Facility		$47.29	$47.29	$112.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $59.73 / $79.11	Professional		$44.80	$59.73	$79.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $139.40 / $365.42	Facility		$99.57	$139.40	$365.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $82.79 / $158.96	Professional		$53.10	$82.79	$158.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.63 / $102.76 / $184.20	Facility		$84.63	$102.76	$184.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $84.63 / $84.63	Professional		$84.63	$84.63	$84.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $71.68	Facility		$71.68	$71.68	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $71.68 / $125.45	Professional		$52.33	$71.68	$125.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $99.57 / $170.62	Professional		$75.67	$99.57	$170.62
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $49.67 / $97.24	Professional		$33.11	$49.67	$97.24