Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.09 / $57.09 / $135.61	Facility		$57.09	$57.09	$135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $69.88 / $105.73	Professional		$57.09	$69.88	$105.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $168.32 / $441.24	Facility		$120.23	$168.32	$441.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $99.96 / $191.92	Professional		$64.09	$99.96	$191.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.20 / $114.54 / $222.43	Facility		$102.20	$114.54	$222.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $102.20 / $102.20	Professional		$102.20	$102.20	$102.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $73.42 / $141.75	Professional		$53.60	$73.42	$141.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $120.23 / $213.28	Professional		$91.37	$120.23	$213.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $59.98 / $98.95	Professional		$39.97	$59.98	$98.95