Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $28.88 / $45.63	Professional		$24.31	$28.88	$45.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $57.45	Facility		$57.45	$57.45	$57.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $44.77 / $92.79	Professional		$4.34	$44.77	$92.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $39.24 / $92.62	Facility		$4.88	$39.24	$92.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $36.63 / $52.30	Professional		$4.88	$36.63	$52.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $37.64	Facility		$37.64	$37.64	$37.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $37.64 / $66.75	Professional		$31.99	$37.64	$66.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $57.45 / $134.69	Professional		$6.40	$57.45	$134.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $32.20 / $51.11	Professional		$19.16	$32.20	$51.11