Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $141.25	Facility		$54.95	$54.95	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $107.15	Professional		$48.98	$58.88	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $281.84 / $436.52	Facility		$117.49	$281.84	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $144.54	Professional		$63.10	$97.72	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $186.21	Facility		$64.57	$64.57	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $134.90	Professional		$46.77	$46.77	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $162.18	Professional		$77.62	$117.49	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $50.12 / $69.18	Facility		$32.36	$50.12	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $100.00	Professional		$38.90	$57.54	$100.00