Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $72.43 / $102.41	Professional		$56.31	$72.43	$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 $9.28 / $101.03 / $219.28	Professional		$9.28	$101.03	$219.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $100.05 / $215.02	Facility		$11.60	$100.05	$215.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $88.97 / $133.41	Professional		$11.87	$88.97	$133.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $102.21	Facility		$57.76	$57.76	$102.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $154.50	Professional		$49.10	$57.76	$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 / $63.79 / $109.81	Professional		$44.38	$63.79	$109.81