Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $131.83	Professional		$70.79	$70.79	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $100.00	Professional		$30.20	$33.11	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $60.26	Facility		$48.98	$56.23	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $56.23	Professional		$37.15	$43.65	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $109.65	Professional		$52.48	$52.48	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $223.87	Professional		$141.25	$162.18	$223.87