Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.51 / $35.51 / $349.29	Facility		$35.51	$35.51	$349.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $44.46 / $60.75	Professional		$35.51	$44.46	$60.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.23 / $119.32 / $312.79	Facility		$85.23	$119.32	$312.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $70.87 / $136.07	Professional		$45.44	$70.87	$136.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $88.23 / $157.68	Facility		$66.17	$88.23	$157.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $72.45	Professional		$72.45	$72.45	$72.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Facility		$50.36	$50.36	$50.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $49.28 / $90.38	Professional		$36.76	$49.28	$90.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $85.23 / $141.83	Professional		$64.77	$85.23	$141.83
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.52 / $70.15	Professional		$32.36	$42.52	$70.15