Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $29.69 / $46.92	Professional		$24.99	$29.69	$46.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $58.92 / $58.92	Facility		$58.92	$58.92	$58.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $45.92 / $96.10	Professional		$4.51	$45.92	$96.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $40.61 / $94.99	Facility		$5.01	$40.61	$94.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $37.56 / $54.16	Professional		$5.01	$37.56	$54.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $38.63 / $41.33	Facility		$38.63	$38.63	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $38.63 / $68.25	Professional		$32.84	$38.63	$68.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $58.92 / $135.60	Professional		$7.46	$58.92	$135.60
United Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $33.08 / $57.20	Professional		$19.70	$33.08	$57.20