Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $56.00 / $98.44	Professional		$47.13	$56.00	$98.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $87.43 / $183.54	Professional		$8.74	$87.43	$183.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $74.25 / $181.13	Facility		$9.55	$74.25	$181.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $71.63 / $98.99	Professional		$9.55	$71.63	$98.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $95.86	Facility		$73.04	$73.04	$95.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $132.38	Professional		$62.08	$73.04	$132.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $112.36 / $179.78	Professional		$16.00	$112.36	$179.78
United Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $39.61 / $77.41	Facility		$5.51	$39.61	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $55.67 / $95.85	Professional		$37.51	$55.67	$95.85