Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.07 / $24.07 / $68.17	Facility		$24.07	$24.07	$68.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $34.17 / $48.57	Professional		$24.07	$34.17	$48.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $80.88 / $212.02	Facility		$57.77	$80.88	$212.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $48.03 / $92.22	Professional		$30.80	$48.03	$92.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $57.77 / $113.23	Facility		$49.10	$57.77	$113.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $49.10	Professional		$49.10	$49.10	$49.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $36.57 / $67.13	Professional		$27.27	$36.57	$67.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $57.77 / $80.29	Professional		$43.91	$57.77	$80.29
United Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $28.82 / $47.54	Professional		$19.21	$28.82	$47.54