Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $104.71	Facility		$40.74	$40.74	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $77.62	Professional		$37.15	$48.98	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $208.93 / $323.59	Facility		$89.13	$208.93	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $117.49	Professional		$45.71	$72.44	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $154.88	Facility		$53.70	$53.70	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $104.71	Professional		$39.81	$39.81	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $131.83	Professional		$61.66	$89.13	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $42.66 / $69.18	Facility		$26.92	$42.66	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $75.86	Professional		$28.84	$42.66	$75.86