Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $43.91 / $104.30	Facility		$43.91	$43.91	$104.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $49.33 / $68.76	Professional		$41.60	$49.33	$68.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $129.44 / $339.33	Facility		$92.46	$129.44	$339.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $76.88 / $147.61	Professional		$48.09	$76.88	$147.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.29 / $78.59 / $171.05	Facility		$76.29	$78.59	$171.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $78.59 / $78.59	Professional		$78.59	$78.59	$78.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $51.32	Facility		$51.32	$51.32	$51.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.32 / $106.50	Professional		$37.46	$51.32	$106.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $92.46 / $128.72	Professional		$70.27	$92.46	$128.72
United Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $46.13 / $91.93	Professional		$30.75	$46.13	$91.93