Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $28.13 / $28.13	Facility		$28.13	$28.13	$28.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $28.13 / $36.17	Professional		$19.01	$28.13	$36.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $63.36 / $166.10	Facility		$45.26	$63.36	$166.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $35.53 / $80.76	Professional		$24.79	$35.53	$80.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $45.26 / $88.71	Facility		$38.47	$45.26	$88.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $38.47	Professional		$38.47	$38.47	$38.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Facility		$29.14	$29.14	$29.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $52.50	Professional		$21.27	$21.27	$52.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $45.26 / $59.83	Professional		$43.72	$45.26	$59.83
United Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $30.38 / $33.53	Facility		$16.03	$30.38	$33.53
United Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $21.32 / $33.53	Professional		$14.21	$21.32	$33.53