Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $30.20	Professional		$15.85	$20.89	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $27.54 / $46.77	Professional		$2.09	$27.54	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $29.51 / $38.90	Facility		$3.98	$29.51	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $29.51 / $38.90	Professional		$3.98	$29.51	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $53.70	Professional		$23.99	$28.18	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $52.48	Professional		$26.92	$32.36	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $13.49 / $26.30	Facility		$1.78	$13.49	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $32.36	Professional		$13.18	$18.62	$32.36