Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $58.64 / $90.51	Professional		$49.35	$58.64	$90.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $113.95 / $113.95	Facility		$113.95	$113.95	$113.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $90.29 / $192.19	Professional		$8.48	$90.29	$192.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $84.74 / $183.67	Facility		$9.80	$84.74	$183.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $72.64 / $112.95	Professional		$9.69	$72.64	$112.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $73.97 / $97.09	Facility		$73.97	$73.97	$97.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $73.97 / $132.38	Professional		$62.87	$73.97	$132.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $113.95 / $227.41	Professional		$12.80	$113.95	$227.41
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.29 / $109.37	Professional		$38.90	$60.29	$109.37