Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $73.95 / $116.83	Professional		$62.25	$73.95	$116.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $144.22 / $144.22	Facility		$144.22	$144.22	$144.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $115.62 / $242.27	Professional		$11.57	$115.62	$242.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $105.88 / $232.49	Facility		$12.27	$105.88	$232.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $91.94 / $141.19	Professional		$12.26	$91.94	$141.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $124.23	Facility		$94.65	$94.65	$124.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $165.75	Professional		$80.45	$94.65	$165.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $144.22 / $230.75	Professional		$18.13	$144.22	$230.75
United Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $83.50 / $138.19	Professional		$52.76	$83.50	$138.19