Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $117.49	Facility		$39.81	$39.81	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $89.13	Professional		$39.81	$54.95	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $234.42 / $363.08	Facility		$97.72	$234.42	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $131.83	Professional		$51.29	$79.43	$131.83
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 $60.26 / $60.26 / $173.78	Facility		$60.26	$60.26	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $117.49	Professional		$43.65	$43.65	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $134.90	Professional		$69.18	$97.72	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $67.61 / $75.86	Facility		$37.15	$67.61	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $93.33	Professional		$32.36	$47.86	$93.33