Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $46.83 / $111.24	Facility		$46.83	$46.83	$111.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $52.62 / $73.34	Professional		$44.37	$52.62	$73.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.61 / $138.05 / $361.90	Facility		$98.61	$138.05	$361.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $82.00 / $157.44	Professional		$52.49	$82.00	$157.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $83.82 / $182.43	Facility		$81.36	$83.82	$182.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $83.82 / $83.82	Professional		$83.82	$83.82	$83.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $70.48	Facility		$70.48	$70.48	$70.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $62.09 / $113.63	Professional		$51.45	$62.09	$113.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $98.61 / $136.53	Professional		$74.94	$98.61	$136.53
United Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $49.20 / $81.16	Professional		$32.79	$49.20	$81.16