Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $40.95 / $115.98	Facility		$40.95	$40.95	$115.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $48.65 / $78.12	Professional		$40.95	$48.65	$78.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.29 / $137.61 / $360.72	Facility		$98.29	$137.61	$360.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $81.73 / $156.91	Professional		$51.78	$81.73	$156.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $83.55 / $181.84	Facility		$76.64	$83.55	$181.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $83.55 / $83.55	Professional		$83.55	$83.55	$83.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $59.82	Facility		$59.82	$59.82	$59.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $58.54 / $107.25	Professional		$43.67	$58.54	$107.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $98.29 / $164.22	Professional		$74.70	$98.29	$164.22
United Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $49.04 / $80.91	Professional		$35.22	$49.04	$80.91