Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $151.36	Professional		$91.20	$109.65	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $141.25 / $263.03	Professional		$11.75	$141.25	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $138.04 / $186.21	Facility		$18.62	$138.04	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $138.04 / $186.21	Professional		$18.62	$138.04	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $302.00	Professional		$114.82	$134.90	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $288.40	Professional		$147.91	$177.83	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $63.10 / $125.89	Facility		$8.32	$63.10	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $181.97	Professional		$63.10	$102.33	$181.97