Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $25.76 / $38.82	Professional		$21.49	$25.76	$38.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.61 / $50.61 / $50.61	Facility		$50.61	$50.61	$50.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $39.44 / $82.77	Professional		$3.88	$39.44	$82.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $36.53 / $81.59	Facility		$4.30	$36.53	$81.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $32.27 / $48.25	Professional		$4.30	$32.27	$48.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $43.75	Facility		$33.33	$33.33	$43.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $55.88	Professional		$28.33	$33.33	$55.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $50.61 / $80.98	Professional		$6.40	$50.61	$80.98
United Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $29.38 / $52.43	Professional		$18.04	$29.38	$52.43