Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $43.65	Professional		$23.99	$28.18	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $40.74 / $66.07	Professional		$3.80	$40.74	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $38.90 / $52.48	Facility		$4.90	$38.90	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $36.31 / $52.48	Professional		$4.90	$36.31	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $67.61	Professional		$32.36	$38.02	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $93.33	Professional		$42.66	$48.98	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $20.42 / $41.69	Facility		$2.63	$20.42	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $53.70	Professional		$19.05	$32.36	$53.70