Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $27.76 / $43.18	Professional		$23.36	$27.76	$43.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Facility		$55.95	$55.95	$55.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $41.19 / $90.16	Professional		$3.95	$41.19	$90.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $44.76 / $90.19	Facility		$4.76	$44.76	$90.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $35.67 / $47.56	Professional		$4.76	$35.67	$47.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $36.74	Facility		$36.74	$36.74	$36.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $36.74 / $64.88	Professional		$31.23	$36.74	$64.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $55.95 / $132.63	Professional		$6.40	$55.95	$132.63
United Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $29.27 / $53.43	Professional		$18.41	$29.27	$53.43