Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $86.52	Facility		$30.54	$30.54	$86.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $42.54 / $54.43	Professional		$30.54	$42.54	$54.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $102.65 / $269.08	Facility		$73.31	$102.65	$269.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $60.96 / $117.04	Professional		$39.09	$60.96	$117.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.32 / $73.31 / $143.71	Facility		$62.32	$73.31	$143.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $62.32 / $62.32	Professional		$62.32	$62.32	$62.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $45.81	Facility		$45.81	$45.81	$45.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $45.81 / $85.50	Professional		$33.44	$45.81	$85.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $73.31 / $101.88	Professional		$55.72	$73.31	$101.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $36.58 / $60.34	Professional		$24.38	$36.58	$60.34