Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $28.18	Professional		$15.85	$19.95	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $25.70 / $44.67	Professional		$2.45	$25.70	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $27.54 / $36.31	Facility		$3.16	$27.54	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $23.44 / $36.31	Professional		$3.16	$23.44	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $44.67	Professional		$21.88	$25.70	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $51.29	Professional		$28.84	$34.67	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $14.45 / $28.18	Facility		$1.95	$14.45	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.95 / $35.48	Professional		$13.80	$19.95	$35.48