Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $147.91	Facility		$57.54	$57.54	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $107.15	Professional		$51.29	$61.66	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $295.12 / $457.09	Facility		$123.03	$295.12	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $154.88	Professional		$64.57	$102.33	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $190.55	Facility		$81.28	$81.28	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $141.25	Professional		$58.88	$58.88	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $190.55	Professional		$81.28	$123.03	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $52.48 / $72.44	Facility		$33.88	$52.48	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $114.82	Professional		$40.74	$58.88	$114.82