Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $43.65	Professional		$25.12	$30.20	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $42.66 / $70.79	Professional		$4.07	$42.66	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $41.69 / $54.95	Facility		$5.25	$41.69	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $38.90 / $54.95	Professional		$5.25	$38.90	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $43.65	Facility		$40.74	$40.74	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $70.79	Professional		$34.67	$40.74	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $102.33	Professional		$45.71	$51.29	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $21.88 / $44.67	Facility		$2.82	$21.88	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $57.54	Professional		$20.42	$33.88	$57.54