Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $59.01 / $93.22	Professional		$49.67	$59.01	$93.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.68 / $112.68 / $112.68	Facility		$112.68	$112.68	$112.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $90.95 / $193.40	Professional		$9.00	$90.95	$193.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $89.00 / $181.64	Facility		$10.00	$89.00	$181.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $71.83 / $118.69	Professional		$9.58	$71.83	$118.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $92.75	Facility		$74.67	$74.67	$92.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $128.25	Professional		$63.47	$74.67	$128.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $112.68 / $387.00	Professional		$85.64	$112.68	$387.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $64.40 / $114.91	Professional		$39.15	$64.40	$114.91