Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $53.42 / $126.91	Facility		$53.42	$53.42	$126.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $60.02 / $77.72	Professional		$50.61	$60.02	$77.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.49 / $157.49 / $412.84	Facility		$112.49	$157.49	$412.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $93.53 / $179.58	Professional		$59.20	$93.53	$179.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.79 / $95.62 / $208.11	Facility		$92.79	$95.62	$208.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $95.62 / $95.62	Professional		$95.62	$95.62	$95.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $129.75	Professional		$48.71	$66.72	$129.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $112.49 / $156.16	Professional		$85.49	$112.49	$156.16
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $56.12 / $92.59	Professional		$37.40	$56.12	$92.59