Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $154.88	Facility		$60.26	$60.26	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $114.82	Professional		$53.70	$64.57	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $309.03 / $478.63	Facility		$131.83	$309.03	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $162.18	Professional		$66.07	$107.15	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $204.17	Facility		$70.79	$70.79	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $147.91	Professional		$51.29	$51.29	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $177.83	Professional		$66.07	$131.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $54.95 / $75.86	Facility		$35.48	$54.95	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $109.65	Professional		$42.66	$63.10	$109.65