Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $114.82	Facility		$43.65	$43.65	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $83.18	Professional		$40.74	$51.29	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $223.87 / $346.74	Facility		$95.50	$223.87	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $117.49	Professional		$51.29	$77.62	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $154.88	Facility		$53.70	$53.70	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $112.20	Professional		$38.90	$38.90	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $169.82	Professional		$64.57	$95.50	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $41.69 / $58.88	Facility		$27.54	$41.69	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $79.43	Professional		$30.90	$45.71	$79.43