Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $26.50 / $41.87	Professional		$22.31	$26.50	$41.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.87 / $49.87 / $49.87	Facility		$49.87	$49.87	$49.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $40.54 / $79.89	Professional		$4.00	$40.54	$79.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $41.37 / $80.38	Facility		$4.68	$41.37	$80.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $31.79 / $55.15	Professional		$4.24	$31.79	$55.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $41.85	Facility		$33.36	$33.36	$41.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $33.36 / $58.50	Professional		$28.36	$33.36	$58.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $49.87 / $160.00	Professional		$37.90	$49.87	$160.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $31.01 / $53.88	Professional		$20.61	$31.01	$53.88