Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $83.50 / $137.88	Professional		$70.28	$83.50	$137.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Facility		$164.86	$164.86	$164.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $132.21 / $264.08	Professional		$11.58	$132.21	$264.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $115.74 / $265.74	Facility		$14.71	$115.74	$265.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $105.09 / $154.29	Professional		$14.02	$105.09	$154.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $126.58	Facility		$111.50	$111.50	$126.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $193.50	Professional		$94.78	$111.50	$193.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.29 / $164.86 / $484.00	Professional		$125.29	$164.86	$484.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $94.97 / $155.22	Professional		$55.39	$94.97	$155.22