Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $181.97	Professional		$107.15	$125.89	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $147.91 / $263.03	Professional		$15.14	$147.91	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.99 / $218.78	Facility		$21.38	$23.99	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $23.99	Professional		$21.38	$21.38	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $173.78 / $309.03	Professional		$19.95	$173.78	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $269.15 / $549.54	Professional		$27.54	$269.15	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $81.28 / $154.88	Facility		$10.96	$81.28	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $204.17	Professional		$77.62	$131.83	$204.17