Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $117.49	Facility		$44.67	$44.67	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $85.11	Professional		$44.67	$50.12	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $354.81	Facility		$97.72	$229.09	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $128.82	Professional		$51.29	$79.43	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $173.78	Facility		$61.66	$61.66	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $109.65	Professional		$44.67	$44.67	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $173.78	Professional		$67.61	$97.72	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $69.18	Facility		$30.20	$46.77	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $93.33	Professional		$31.62	$47.86	$93.33