Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $51.55 / $80.81	Professional		$43.06	$51.55	$80.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.93 / $92.93 / $92.93	Facility		$92.93	$92.93	$92.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $74.53 / $152.62	Professional		$7.45	$74.53	$152.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $79.48 / $151.51	Facility		$7.95	$79.48	$151.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $59.25 / $114.81	Professional		$7.90	$59.25	$114.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $83.92	Facility		$60.80	$60.80	$83.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $60.80 / $105.00	Professional		$51.68	$60.80	$105.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $92.93 / $148.69	Professional		$14.93	$92.93	$148.69
United Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $64.58 / $100.56	Professional		$33.95	$64.58	$100.56