Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $37.42 / $92.63	Facility		$11.39	$37.42	$92.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $24.25 / $32.64	Professional		$18.50	$24.25	$32.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $31.73 / $101.10	Facility		$11.39	$31.73	$101.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $11.69 / $36.22	Professional		$9.35	$11.69	$36.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $40.90 / $62.82	Facility		$29.22	$40.90	$62.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $35.06 / $37.99	Professional		$29.22	$35.06	$37.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $55.17 / $80.86	Facility		$29.02	$55.17	$80.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $26.67 / $87.07	Professional		$14.19	$26.67	$87.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $32.14 / $228.44	Professional		$15.01	$32.14	$228.44
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $13.15 / $53.10	Professional		$5.48	$13.15	$53.10