Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $128.63 / $209.30	Professional		$108.27	$128.63	$209.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $213.95 / $213.95	Facility		$213.95	$213.95	$213.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $202.85 / $421.80	Professional		$20.27	$202.85	$421.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $24.12 / $221.13	Facility		$21.48	$24.12	$221.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $24.12	Professional		$21.48	$21.48	$24.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $174.27	Facility		$174.27	$174.27	$174.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $174.27 / $307.50	Professional		$19.86	$174.27	$307.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $193.86 / $581.00	Professional		$27.72	$193.86	$581.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $130.72 / $233.28	Professional		$77.65	$130.72	$233.28