Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $72.59 / $114.69	Professional		$61.10	$72.59	$114.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.51 / $142.51 / $142.51	Facility		$142.51	$142.51	$142.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $113.82 / $237.93	Professional		$10.23	$113.82	$237.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $102.17 / $229.71	Facility		$12.85	$102.17	$229.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $90.85 / $136.24	Professional		$12.11	$90.85	$136.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $122.74	Facility		$93.52	$93.52	$122.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $172.50	Professional		$79.48	$93.52	$172.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $142.51 / $228.02	Professional		$16.00	$142.51	$228.02
United Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $73.93 / $131.91	Professional		$47.13	$73.93	$131.91