Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $121.98 / $199.50	Professional		$101.30	$121.98	$199.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $159.56 / $393.60	Professional		$16.44	$159.56	$393.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $21.28 / $172.13	Facility		$18.09	$21.28	$172.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $18.09 / $18.09	Professional		$18.09	$18.09	$18.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $153.77 / $288.75	Professional		$18.44	$153.77	$288.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $228.39 / $774.00	Professional		$29.85	$228.39	$774.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $105.24 / $172.28	Professional		$63.22	$105.24	$172.28