Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $37.79 / $89.77	Facility		$37.79	$37.79	$89.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $39.38 / $53.04	Professional		$29.97	$39.38	$53.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $111.41 / $292.06	Facility		$79.58	$111.41	$292.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $66.17 / $127.05	Professional		$36.97	$66.17	$127.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $67.64 / $147.22	Facility		$53.58	$67.64	$147.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $67.64 / $67.64	Professional		$67.64	$67.64	$67.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $40.77	Facility		$40.77	$40.77	$40.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $84.11	Professional		$29.76	$29.76	$84.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $79.58 / $116.42	Professional		$60.48	$79.58	$116.42
United Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $37.49 / $65.50	Professional		$26.47	$37.49	$65.50