Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $60.71 / $144.22	Facility		$60.71	$60.71	$144.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $68.23 / $96.27	Professional		$57.52	$68.23	$96.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.84 / $178.98 / $469.17	Facility		$127.84	$178.98	$469.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $106.30 / $204.10	Professional		$66.53	$106.30	$204.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.54 / $108.66 / $236.50	Facility		$105.54	$108.66	$236.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $108.66 / $108.66	Professional		$108.66	$108.66	$108.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $70.98	Facility		$70.98	$70.98	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $147.38	Professional		$51.82	$70.98	$147.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $127.84 / $177.86	Professional		$65.90	$127.84	$177.86
United Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $63.78 / $105.23	Professional		$42.52	$63.78	$105.23