Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $38.90	Professional		$21.88	$26.92	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $37.15 / $61.66	Professional		$3.47	$37.15	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $38.02 / $54.95	Facility		$4.57	$38.02	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $33.88 / $50.12	Professional		$4.57	$33.88	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $37.15	Facility		$35.48	$35.48	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $63.10	Professional		$29.51	$35.48	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $87.10	Professional		$40.74	$54.95	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $19.95 / $38.02	Facility		$2.45	$19.95	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.90 / $48.98	Professional		$19.05	$30.90	$48.98