Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.93 / $48.93 / $138.59	Facility		$48.93	$48.93	$138.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $70.45 / $82.79	Professional		$48.93	$70.45	$82.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.45 / $164.43 / $431.04	Facility		$117.45	$164.43	$431.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $97.66 / $187.51	Professional		$62.62	$97.66	$187.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $128.04 / $217.28	Facility		$99.83	$128.04	$217.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $99.83 / $99.83	Professional		$99.83	$99.83	$99.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $97.44	Facility		$97.44	$97.44	$97.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $94.37 / $156.81	Professional		$71.13	$94.37	$156.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $117.45 / $162.90	Professional		$89.26	$117.45	$162.90
United Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $58.60 / $97.66	Professional		$45.88	$58.60	$97.66