Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $39.95 / $39.95	Facility		$39.95	$39.95	$39.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $39.95 / $50.45	Professional		$27.57	$39.95	$50.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $52.47 / $115.85	Professional		$36.58	$52.47	$115.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.64 / $63.10 / $123.68	Facility		$53.64	$63.10	$123.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $53.64 / $53.64	Professional		$53.64	$53.64	$53.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $46.83	Facility		$37.90	$37.90	$46.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $71.69	Professional		$32.22	$32.22	$71.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $63.10 / $87.87	Professional		$47.96	$63.10	$87.87
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $30.17 / $61.76	Professional		$20.99	$30.17	$61.76