Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Facility		$40.36	$40.36	$40.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $40.36 / $50.64	Professional		$23.67	$40.36	$50.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $53.00 / $117.93	Professional		$27.15	$53.00	$117.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $63.75 / $124.95	Facility		$54.19	$63.75	$124.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $54.19 / $54.19	Professional		$54.19	$54.19	$54.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $38.29 / $38.29	Facility		$34.71	$38.29	$38.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $72.58	Professional		$32.54	$32.54	$72.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $63.75 / $84.76	Professional		$48.45	$63.75	$84.76
United Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $30.47 / $62.26	Professional		$21.20	$30.47	$62.26