Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.10 / $42.10 / $42.10	Facility		$42.10	$42.10	$42.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $42.10 / $53.15	Professional		$29.05	$42.10	$53.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $55.28 / $126.46	Professional		$33.31	$55.28	$126.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.51 / $66.48 / $130.30	Facility		$56.51	$66.48	$130.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $56.51 / $56.51	Professional		$56.51	$56.51	$56.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $39.94	Facility		$39.94	$39.94	$39.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $33.95 / $75.72	Professional		$33.95	$33.95	$75.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $66.48 / $119.66	Professional		$50.52	$66.48	$119.66
United Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $31.79 / $55.28	Professional		$22.11	$31.79	$55.28