Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $125.89	Professional		$79.43	$93.33	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $562.34	Professional		$154.88	$154.88	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $102.33 / $134.90	Professional		$13.49	$102.33	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $218.78	Professional		$83.18	$97.72	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $263.03	Professional		$114.82	$162.18	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $60.26 / $112.20	Facility		$7.24	$60.26	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $154.88	Professional		$60.26	$93.33	$154.88