Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.55 / $96.55 / $96.55	Facility		$96.55	$96.55	$96.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $129.37 / $888.30	Professional		$94.62	$129.37	$888.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $146.00 / $207.60	Professional		$94.05	$146.00	$207.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.73 / $160.57 / $175.06	Facility		$120.73	$160.57	$175.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.58 / $150.97 / $269.11	Professional		$149.58	$150.97	$269.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $131.22 / $150.91	Professional		$131.22	$131.22	$150.91