Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $151.36	Facility		$57.54	$57.54	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $112.20	Professional		$56.23	$64.57	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $302.00 / $457.09	Facility		$125.89	$302.00	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $165.96	Professional		$66.07	$102.33	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $223.87	Facility		$79.43	$79.43	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $151.36	Professional		$58.88	$58.88	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $186.21	Professional		$87.10	$125.89	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $61.66 / $83.18	Facility		$38.90	$61.66	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $120.23	Professional		$40.74	$61.66	$120.23