Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $52.68 / $52.68	Facility		$52.68	$52.68	$52.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $52.68 / $52.68	Professional		$50.78	$52.68	$52.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $57.39 / $57.39	Facility		$40.13	$57.39	$57.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $44.08 / $49.73	Professional		$38.29	$44.08	$49.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $55.54 / $108.85	Facility		$53.95	$55.54	$108.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $73.58 / $75.79	Professional		$53.95	$73.58	$75.79
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $63.47	Professional		$52.89	$52.89	$63.47