Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $38.90	Professional		$19.05	$28.18	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $138.04 / $169.82	Facility		$45.71	$138.04	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $54.95	Professional		$20.89	$35.48	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $72.44	Facility		$28.18	$28.18	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $52.48	Professional		$20.89	$20.89	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $60.26	Professional		$30.90	$45.71	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $30.20 / $33.88	Facility		$13.49	$30.20	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $41.69	Professional		$14.13	$21.38	$41.69