Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $27.41 / $43.30	Professional		$23.07	$27.41	$43.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.05 / $52.05 / $52.05	Facility		$52.05	$52.05	$52.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $41.86 / $83.37	Professional		$4.18	$41.86	$83.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $41.87 / $83.90	Facility		$4.75	$41.87	$83.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $33.18 / $55.84	Professional		$4.43	$33.18	$55.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $43.29	Facility		$34.40	$34.40	$43.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $34.40 / $61.88	Professional		$29.25	$34.40	$61.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $52.05 / $116.00	Professional		$39.56	$52.05	$116.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $22.05 / $36.96	Facility		$2.92	$22.05	$36.96
United Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $31.68 / $52.32	Professional		$18.18	$31.68	$52.32