Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.62 / $50.62 / $120.25	Facility		$50.62	$50.62	$120.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $59.73 / $91.47	Professional		$50.62	$59.73	$91.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.59 / $149.22 / $391.19	Facility		$106.59	$149.22	$391.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $88.62 / $170.15	Professional		$56.82	$88.62	$170.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.56 / $90.60 / $197.19	Facility		$86.56	$90.60	$197.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $90.60 / $90.60	Professional		$90.60	$90.60	$90.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $64.45 / $118.13	Professional		$48.71	$64.45	$118.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $106.59 / $184.49	Professional		$81.01	$106.59	$184.49
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $53.17 / $87.73	Professional		$35.45	$53.17	$87.73