Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $28.84	Professional		$16.98	$20.89	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $28.84 / $50.12	Professional		$2.40	$28.84	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $28.84 / $38.90	Facility		$3.55	$28.84	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $26.30 / $38.90	Professional		$3.55	$26.30	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Facility		$26.92	$26.92	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $48.98	Professional		$22.91	$26.92	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $69.18	Professional		$32.36	$42.66	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $13.18 / $28.84	Facility		$1.74	$13.18	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $37.15	Professional		$13.18	$21.38	$37.15