Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $104.17	Facility		$36.78	$36.78	$104.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $47.11 / $58.84	Professional		$36.78	$47.11	$58.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $123.59 / $323.99	Facility		$88.28	$123.59	$323.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $73.40 / $140.93	Professional		$47.47	$73.40	$140.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.84 / $75.04 / $163.32	Facility		$72.84	$75.04	$163.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $75.04 / $75.04	Professional		$75.04	$75.04	$75.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Facility		$69.70	$69.70	$69.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $101.63	Professional		$59.25	$59.25	$101.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $88.28 / $142.90	Professional		$67.09	$88.28	$142.90
United Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $44.04 / $72.67	Professional		$29.36	$44.04	$72.67