Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.70 / $31.70 / $314.60	Facility		$31.70	$31.70	$314.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $32.35 / $37.67	Professional		$31.70	$32.35	$37.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $59.25 / $135.90	Facility		$37.03	$59.25	$135.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $30.17 / $57.95	Professional		$25.64	$30.17	$57.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $59.25 / $87.12	Facility		$51.84	$59.25	$87.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $40.72 / $498.00	Professional		$30.73	$40.72	$498.00
United Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $38.88 / $38.88	Facility		$38.88	$38.88	$38.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $48.15 / $61.90	Professional		$22.48	$48.15	$61.90