Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $57.22 / $57.22	Facility		$57.22	$57.22	$57.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $57.22 / $58.60	Professional		$55.15	$57.22	$58.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $58.60 / $65.53	Professional		$45.33	$58.60	$65.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $60.32 / $60.32	Facility		$58.60	$60.32	$60.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $156.00	Professional		$58.60	$58.60	$156.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $91.77	Professional		$68.94	$68.94	$91.77