Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $35.84 / $85.13	Facility		$35.84	$35.84	$85.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $40.28 / $56.84	Professional		$33.96	$40.28	$56.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $105.67 / $277.01	Facility		$75.48	$105.67	$277.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $62.75 / $120.48	Professional		$40.18	$62.75	$120.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.28 / $64.16 / $139.63	Facility		$62.28	$64.16	$139.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $64.16 / $64.16	Professional		$64.16	$64.16	$64.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Facility		$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.91 / $87.00	Professional		$30.59	$41.91	$87.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $75.48 / $104.77	Professional		$57.36	$75.48	$104.77
United Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $37.65 / $62.75	Professional		$25.10	$37.65	$62.75