Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $90.40	Facility		$31.91	$31.91	$90.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $40.88 / $51.06	Professional		$31.91	$40.88	$51.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $107.25 / $281.16	Facility		$76.61	$107.25	$281.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $63.69 / $122.28	Professional		$41.60	$63.69	$122.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $65.12 / $141.72	Facility		$63.20	$65.12	$141.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $65.12 / $65.12	Professional		$65.12	$65.12	$65.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $43.76	Facility		$43.76	$43.76	$43.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $90.95	Professional		$37.20	$37.20	$90.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $76.61 / $190.00	Professional		$58.22	$76.61	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $38.21 / $63.05	Professional		$26.59	$38.21	$63.05