Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $109.65 / $208.93	Facility		$37.15	$109.65	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $75.86	Professional		$36.31	$41.69	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $218.78 / $338.84	Facility		$91.20	$218.78	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $112.20	Professional		$47.86	$74.13	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $134.90	Facility		$48.98	$48.98	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $109.65	Professional		$35.48	$35.48	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $144.54	Professional		$58.88	$91.20	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $54.95 / $61.66	Facility		$23.99	$54.95	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $77.62	Professional		$30.20	$44.67	$77.62