Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $57.19 / $135.84	Facility		$57.19	$57.19	$135.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $72.23 / $91.07	Professional		$54.18	$72.23	$91.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $168.59 / $441.94	Facility		$120.42	$168.59	$441.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $100.13 / $192.25	Professional		$64.20	$100.13	$192.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.75 / $110.55 / $222.78	Facility		$101.75	$110.55	$222.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $102.36 / $102.36	Professional		$102.36	$102.36	$102.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $84.33	Facility		$84.33	$84.33	$84.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $75.76 / $138.75	Professional		$61.56	$75.76	$138.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $120.42 / $206.88	Professional		$91.52	$120.42	$206.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $60.08 / $100.13	Professional		$40.04	$60.08	$100.13