Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $93.13 / $147.11	Professional		$78.39	$93.13	$147.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.61 / $175.61 / $175.61	Facility		$175.61	$175.61	$175.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $140.84 / $297.99	Professional		$14.08	$140.84	$297.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $144.65 / $283.10	Facility		$14.93	$144.65	$283.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $111.95 / $192.87	Professional		$14.93	$111.95	$192.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $151.61	Facility		$115.51	$115.51	$151.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $205.50	Professional		$98.18	$115.51	$205.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $175.61 / $581.00	Professional		$133.46	$175.61	$581.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $121.42 / $178.16	Professional		$72.06	$121.42	$178.16