Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $197.10 / $805.00	Facility		$30.58	$197.10	$805.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $24.50 / $30.59	Professional		$21.73	$24.50	$30.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $37.24 / $139.46	Facility		$20.81	$37.24	$139.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $14.83 / $45.05	Professional		$11.12	$14.83	$45.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $70.00 / $13,512.17	Facility		$15.93	$70.00	$13,512.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $15.93 / $24.51	Professional		$14.11	$15.93	$24.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $66.00 / $78.44	Facility		$13.60	$66.00	$78.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $29.74 / $47.42	Professional		$12.62	$29.74	$47.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $33.95 / $171.00	Professional		$31.43	$33.95	$171.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $17.09 / $36.58	Professional		$11.06	$17.09	$36.58