Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $27.19 / $41.46	Professional		$22.88	$27.19	$41.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $54.05 / $54.05	Facility		$54.05	$54.05	$54.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $42.12 / $87.44	Professional		$3.70	$42.12	$87.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $36.97 / $87.12	Facility		$3.74	$36.97	$87.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $31.43 / $41.91	Professional		$3.73	$31.43	$41.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $35.74	Facility		$25.20	$25.20	$35.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $62.63	Professional		$21.42	$25.20	$62.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $54.05 / $110.80	Professional		$5.33	$54.05	$110.80
United Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $28.43 / $52.47	Professional		$18.03	$28.43	$52.47