Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $81.09	Facility		$55.16	$55.16	$81.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $66.73	Professional		$55.16	$55.16	$66.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $59.85 / $59.85	Facility		$55.16	$59.85	$59.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $55.16 / $55.16	Professional		$44.12	$55.16	$55.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $55.16 / $108.50	Facility		$46.89	$55.16	$108.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $46.89 / $46.89	Professional		$46.89	$46.89	$46.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $52.04 / $55.16	Facility		$52.04	$52.04	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $55.16 / $55.16	Professional		$54.60	$55.16	$55.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $46.89 / $73.91	Professional		$31.53	$46.89	$73.91
United Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $104.50 / $104.50	Facility		$53.59	$104.50	$104.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $57.55	Professional		$22.06	$55.16	$57.55