Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $32.40 / $43.99	Professional		$27.45	$32.40	$43.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Facility		$63.92	$63.92	$63.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $50.63 / $106.82	Professional		$5.09	$50.63	$106.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $43.72 / $137.38	Facility		$5.54	$43.72	$137.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $40.76 / $58.32	Professional		$5.49	$40.76	$58.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $56.64	Facility		$43.15	$43.15	$56.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.15 / $74.63	Professional		$36.68	$43.15	$74.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $63.92 / $678.00	Professional		$48.58	$63.92	$678.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $34.51 / $62.17	Professional		$24.45	$34.51	$62.17