Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $28.90 / $41.77	Facility		$28.90	$28.90	$41.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $29.49 / $33.69	Professional		$28.90	$29.49	$33.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $56.64 / $129.91	Facility		$35.40	$56.64	$129.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $29.43 / $55.10	Professional		$15.19	$29.43	$55.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $54.87 / $69.38	Facility		$49.56	$54.87	$69.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $38.13	Professional		$29.14	$29.14	$38.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $35.40 / $98.34	Professional		$29.38	$35.40	$98.34
United Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $35.74 / $52.26	Professional		$17.66	$35.74	$52.26