Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.23 / $208.93	Facility		$40.74	$56.23	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $60.26	Professional		$40.74	$47.86	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $79.43 / $109.65	Facility		$45.71	$79.43	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $85.11	Professional		$38.02	$45.71	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $190.55	Facility		$95.50	$138.04	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $95.50	Professional		$70.79	$75.86	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $81.28	Professional		$67.61	$70.79	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $56.23 / $61.66	Facility		$33.88	$56.23	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $89.13	Professional		$26.30	$37.15	$89.13