Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $66.31 / $109.57	Professional		$55.82	$66.31	$109.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $128.09 / $128.09	Facility		$128.09	$128.09	$128.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $104.63 / $217.36	Professional		$9.74	$104.63	$217.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $97.27 / $206.48	Facility		$11.53	$97.27	$206.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $81.66 / $129.75	Professional		$10.89	$81.66	$129.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $153.38	Professional		$38.25	$45.00	$153.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $128.09 / $261.00	Professional		$97.35	$128.09	$261.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $70.41 / $124.36	Professional		$44.00	$70.41	$124.36