Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $25.02 / $99.43	Professional		$20.88	$25.02	$99.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $47.45 / $47.45	Facility		$47.45	$47.45	$47.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $42.53 / $100.21	Professional		$33.20	$42.53	$100.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $34.44 / $76.48	Facility		$4.36	$34.44	$76.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $30.25 / $42.23	Professional		$4.04	$30.25	$42.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $31.91	Facility		$31.91	$31.91	$31.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $60.00	Professional		$27.12	$31.91	$60.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $47.45 / $169.00	Professional		$36.06	$47.45	$169.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $27.13 / $47.47	Professional		$16.46	$27.13	$47.47