Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $50.16 / $119.15	Facility		$50.16	$50.16	$119.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $56.36 / $78.54	Professional		$47.52	$56.36	$78.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.63 / $147.88 / $387.66	Facility		$105.63	$147.88	$387.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $87.82 / $168.61	Professional		$55.57	$87.82	$168.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $89.79 / $195.42	Facility		$87.14	$89.79	$195.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $89.79 / $89.79	Professional		$89.79	$89.79	$89.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $66.50 / $121.88	Professional		$49.61	$66.50	$121.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $105.63 / $147.05	Professional		$80.28	$105.63	$147.05
United Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $52.69 / $87.82	Professional		$35.13	$52.69	$87.82