Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $49.04 / $116.48	Facility		$49.04	$49.04	$116.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $61.95 / $82.03	Professional		$49.04	$61.95	$82.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $144.56 / $378.96	Facility		$103.26	$144.56	$378.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $85.86 / $164.85	Professional		$55.06	$85.86	$164.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $113.30 / $191.03	Facility		$87.77	$113.30	$191.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $87.77 / $87.77	Professional		$87.77	$87.77	$87.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $75.47	Facility		$75.47	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $75.47 / $137.99	Professional		$55.09	$75.47	$137.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $103.26 / $187.68	Professional		$78.48	$103.26	$187.68
United Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $51.52 / $85.86	Professional		$34.34	$51.52	$85.86