Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.43 / $71.70 / $71.70	Facility		$48.43	$71.70	$71.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $71.70 / $71.70	Professional		$69.09	$71.70	$71.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $90.55 / $204.13	Facility		$55.62	$90.55	$204.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $82.06 / $164.45	Professional		$57.58	$82.06	$164.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $75.58 / $148.13	Facility		$73.42	$75.58	$148.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $69.00 / $106.00	Professional		$55.62	$69.00	$106.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $125.97	Professional		$71.98	$71.98	$125.97