Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $20.82 / $27.92	Professional		$18.73	$20.82	$27.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $25.21 / $57.36	Professional		$13.25	$25.21	$57.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $31.47 / $58.20	Facility		$24.25	$31.47	$58.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $24.25 / $27.47	Professional		$22.88	$24.25	$27.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $51.42	Professional		$22.32	$22.32	$51.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $24.25 / $101.93	Professional		$22.48	$24.25	$101.93
United Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $26.36 / $55.75	Professional		$15.79	$26.36	$55.75