Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $46.41 / $131.46	Facility		$46.41	$46.41	$131.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $59.44 / $74.26	Professional		$46.41	$59.44	$74.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.41 / $155.97 / $408.87	Facility		$111.41	$155.97	$408.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $92.63 / $177.85	Professional		$73.94	$92.63	$177.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.89 / $94.70 / $206.11	Facility		$91.89	$94.70	$206.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Professional		$94.70	$94.70	$94.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $87.96	Facility		$87.96	$87.96	$87.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $74.77 / $128.25	Professional		$74.77	$74.77	$128.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $111.41 / $736.00	Professional		$84.67	$111.41	$736.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $55.58 / $91.67	Professional		$37.04	$55.58	$91.67