Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $29.85 / $71.26	Facility		$14.95	$29.85	$71.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $19.55 / $44.96	Professional		$12.50	$19.55	$44.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $24.42 / $68.48	Facility		$12.45	$24.42	$68.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $8.99 / $33.57	Professional		$6.21	$8.99	$33.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $22.48 / $35.97	Facility		$14.61	$22.48	$35.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $14.61 / $22.48	Professional		$14.61	$14.61	$22.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $49.46 / $62.06	Facility		$22.25	$49.46	$62.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $25.61 / $34.08	Professional		$10.24	$25.61	$34.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $29.22 / $33.86	Professional		$24.56	$29.22	$33.86
United Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.23 / $22.48	Facility		$20.23	$20.23	$22.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $22.48 / $23.60	Professional		$5.40	$22.48	$23.60