Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $109.39 / $174.37	Professional		$92.07	$109.39	$174.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.84 / $218.84 / $218.84	Facility		$218.84	$218.84	$218.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $161.11 / $357.79	Professional		$14.79	$161.11	$357.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $139.52 / $218.84	Facility		$17.61	$139.52	$218.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $138.11 / $184.15	Professional		$18.42	$138.11	$184.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $134.41	Facility		$134.41	$134.41	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $253.88	Professional		$114.26	$134.41	$253.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $218.84 / $350.14	Professional		$21.33	$218.84	$350.14
United Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $102.77 / $180.12	Professional		$64.34	$102.77	$180.12