Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $93.91 / $116.45	Professional		$79.04	$93.91	$116.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.28 / $160.28 / $160.28	Facility		$160.28	$160.28	$160.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $160.28 / $560.00	Professional		$144.25	$160.28	$560.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $102.17 / $344.48	Facility		$13.63	$102.17	$344.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $102.17 / $136.24	Professional		$13.63	$102.17	$136.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $186.00	Professional		$83.68	$98.45	$186.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $160.28 / $256.45	Professional		$121.81	$160.28	$256.45
United Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $59.87 / $126.39	Facility		$7.85	$59.87	$126.39
United Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $93.91 / $180.00	Professional		$59.87	$93.91	$180.00