Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $113.69	Facility		$40.14	$40.14	$113.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $57.80 / $81.00	Professional		$40.14	$57.80	$81.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.35 / $134.88 / $353.60	Facility		$96.35	$134.88	$353.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $80.11 / $153.81	Professional		$51.37	$80.11	$153.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $95.44 / $178.25	Facility		$81.90	$95.44	$178.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $60.21	Facility		$60.21	$60.21	$60.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.21 / $128.59	Professional		$43.95	$60.21	$128.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $96.35 / $133.65	Professional		$73.23	$96.35	$133.65
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $48.07 / $79.30	Professional		$40.06	$48.07	$79.30