Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $37.43 / $207.62	Facility		$37.43	$37.43	$207.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $42.76 / $59.88	Professional		$36.63	$42.76	$59.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $125.78 / $329.71	Facility		$89.84	$125.78	$329.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $74.70 / $143.41	Professional		$47.43	$74.70	$143.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $76.36 / $166.20	Facility		$66.28	$76.36	$166.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $76.36 / $76.36	Professional		$76.36	$76.36	$76.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $48.73	Facility		$48.73	$48.73	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $48.73 / $90.38	Professional		$35.57	$48.73	$90.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $89.84 / $143.74	Professional		$68.28	$89.84	$143.74
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $44.82 / $77.73	Professional		$30.46	$44.82	$77.73