Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $122.50	Professional		$70.00	$70.00	$122.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $32.86 / $100.00	Professional		$29.87	$32.86	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $56.81 / $75.73	Facility		$44.57	$56.81	$75.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $49.25 / $65.36	Professional		$37.88	$49.25	$65.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $62.42 / $131.09	Professional		$52.02	$62.42	$131.09