Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $43.30 / $71.08	Professional		$36.44	$43.30	$71.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $86.29 / $86.29	Facility		$86.29	$86.29	$86.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $69.20 / $151.00	Professional		$6.57	$69.20	$151.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $58.46 / $139.11	Facility		$7.47	$58.46	$139.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $55.01 / $78.00	Professional		$7.34	$55.01	$78.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $44.33 / $62.28	Facility		$44.33	$44.33	$62.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $44.33 / $127.50	Professional		$37.68	$44.33	$127.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $86.29 / $142.19	Professional		$8.52	$86.29	$142.19
United Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $43.09 / $75.54	Professional		$26.99	$43.09	$75.54