Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $73.06 / $116.46	Professional		$61.49	$73.06	$116.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $146.16 / $146.16	Facility		$146.16	$146.16	$146.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $103.30 / $238.96	Professional		$10.34	$103.30	$238.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $92.51 / $146.16	Facility		$11.93	$92.51	$146.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $89.30 / $119.09	Professional		$11.93	$89.30	$119.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $166.88	Professional		$52.79	$62.10	$166.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $146.16 / $233.86	Professional		$16.00	$146.16	$233.86
United Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $68.63 / $121.53	Professional		$42.01	$68.63	$121.53