Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $141.25	Facility		$53.70	$53.70	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $102.33	Professional		$53.70	$69.18	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $426.58	Facility		$117.49	$275.42	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $154.88	Professional		$61.66	$95.50	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $213.80	Facility		$91.20	$91.20	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $151.36	Professional		$67.61	$67.61	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $173.78	Professional		$81.28	$117.49	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $56.23 / $77.62	Facility		$36.31	$56.23	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $112.20	Professional		$38.02	$57.54	$112.20