Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $48.46 / $48.46	Facility		$48.46	$48.46	$48.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $48.46 / $50.76	Professional		$47.87	$48.46	$50.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $52.79 / $52.79	Facility		$48.65	$52.79	$52.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $55.46 / $55.46	Professional		$40.11	$55.46	$55.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $51.08 / $100.12	Facility		$49.62	$51.08	$100.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Facility		$49.62	$49.62	$49.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $49.62	Professional		$32.65	$32.65	$49.62
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $53.67	Professional		$48.65	$48.65	$53.67