Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $27.10 / $42.80	Professional		$22.81	$27.10	$42.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $53.26 / $53.26	Facility		$53.26	$53.26	$53.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $41.51 / $85.32	Professional		$3.80	$41.51	$85.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $37.99 / $85.85	Facility		$4.53	$37.99	$85.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $33.95 / $50.66	Professional		$4.53	$33.95	$50.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $37.36	Facility		$35.11	$35.11	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $35.11 / $61.88	Professional		$29.84	$35.11	$61.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $53.26 / $149.00	Professional		$40.47	$53.26	$149.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $31.91 / $56.93	Professional		$18.94	$31.91	$56.93