Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $48.00 / $150.00	Facility		$30.00	$48.00	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $185.58	Professional		$30.00	$45.00	$185.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $40.00 / $54.99	Professional		$32.00	$40.00	$54.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $22.38 / $43.86	Facility		$22.38	$22.38	$43.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $75.00 / $110.29	Professional		$48.00	$75.00	$110.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $80.00 / $126.00	Professional		$43.00	$80.00	$126.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $58.32 / $96.00	Professional		$5.03	$58.32	$96.00