Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $67.72 / $109.45	Professional		$57.00	$67.72	$109.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $130.01 / $130.01	Facility		$130.01	$130.01	$130.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $107.57 / $221.93	Professional		$10.43	$107.57	$221.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $100.80 / $209.58	Facility		$12.27	$100.80	$209.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $82.88 / $134.43	Professional		$11.05	$82.88	$134.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $104.45	Facility		$88.16	$88.16	$104.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $157.13	Professional		$74.94	$88.16	$157.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $130.01 / $208.02	Professional		$18.13	$130.01	$208.02
United Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $84.63 / $126.22	Professional		$52.69	$84.63	$126.22