Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $76.76 / $129.71	Professional		$64.59	$76.76	$129.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.13 / $146.13 / $146.13	Facility		$146.13	$146.13	$146.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $117.19 / $234.09	Professional		$11.68	$117.19	$234.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $116.59 / $235.55	Facility		$13.60	$116.59	$235.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $93.15 / $155.47	Professional		$12.42	$93.15	$155.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $120.98	Facility		$100.30	$100.30	$120.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $172.13	Professional		$85.26	$100.30	$172.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $146.13 / $310.00	Professional		$111.06	$146.13	$310.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $97.88 / $143.52	Professional		$58.10	$97.88	$143.52