Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $129.55	Facility		$54.54	$54.54	$129.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $68.19 / $86.45	Professional		$49.27	$68.19	$86.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.85 / $160.79 / $421.50	Facility		$114.85	$160.79	$421.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $95.50 / $183.36	Professional		$60.41	$95.50	$183.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.62 / $114.89 / $212.47	Facility		$97.62	$114.89	$212.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $97.62	Professional		$97.62	$97.62	$97.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $81.48 / $135.31	Professional		$63.82	$81.48	$135.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $114.85 / $184.49	Professional		$87.29	$114.85	$184.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $57.30 / $94.52	Professional		$38.20	$57.30	$94.52