Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $28.96 / $45.60	Professional		$24.37	$28.96	$45.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $57.95 / $57.95	Facility		$57.95	$57.95	$57.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $44.66 / $92.85	Professional		$4.45	$44.66	$92.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $38.70 / $93.44	Facility		$4.93	$38.70	$93.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $36.95 / $51.56	Professional		$4.93	$36.95	$51.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.90 / $67.13	Professional		$32.22	$37.90	$67.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $57.95 / $128.00	Professional		$44.04	$57.95	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $31.75 / $56.27	Professional		$19.21	$31.75	$56.27