Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.62 / $29.62 / $42.80	Facility		$29.62	$29.62	$42.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $30.22 / $34.52	Professional		$29.62	$30.22	$34.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $58.03 / $133.11	Facility		$36.27	$58.03	$133.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $30.16 / $57.44	Professional		$15.93	$30.16	$57.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $56.22 / $71.09	Facility		$50.78	$56.22	$71.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $24.49	Professional		$21.60	$21.60	$24.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $36.27 / $98.34	Professional		$30.10	$36.27	$98.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $36.26 / $53.54	Professional		$18.10	$36.26	$53.54