Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $73.16 / $102.41	Professional		$56.31	$73.16	$102.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.43 / $133.43 / $133.43	Facility		$133.43	$133.43	$133.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $103.80 / $219.28	Professional		$9.63	$103.80	$219.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $100.05 / $215.02	Facility		$12.04	$100.05	$215.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $92.17 / $133.41	Professional		$12.29	$92.17	$133.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $103.92	Facility		$96.42	$96.42	$103.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $154.50	Professional		$81.96	$96.42	$154.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $133.43 / $213.49	Professional		$14.93	$133.43	$213.49
United Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $62.66 / $115.46	Professional		$44.38	$62.66	$115.46