Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.54 / $51.54 / $122.42	Facility		$51.54	$51.54	$122.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $53.71 / $86.21	Professional		$42.53	$53.71	$86.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.52 / $151.93 / $398.27	Facility		$108.52	$151.93	$398.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $90.24 / $173.26	Professional		$49.30	$90.24	$173.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $92.24 / $200.76	Facility		$81.00	$92.24	$200.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $92.24 / $92.24	Professional		$92.24	$92.24	$92.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $61.62	Facility		$61.62	$61.62	$61.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $60.30 / $108.87	Professional		$44.98	$60.30	$108.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $108.52 / $152.68	Professional		$82.48	$108.52	$152.68
United Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $50.96 / $89.32	Professional		$36.10	$50.96	$89.32