Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $41.69	Professional		$23.99	$28.84	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $41.69 / $67.61	Professional		$3.98	$41.69	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $40.74 / $53.70	Facility		$5.01	$40.74	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $37.15 / $53.70	Professional		$5.01	$37.15	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $41.69	Facility		$38.90	$38.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $67.61	Professional		$33.11	$38.90	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $97.72	Professional		$43.65	$50.12	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $21.38 / $42.66	Facility		$2.69	$21.38	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $54.95	Professional		$19.50	$33.11	$54.95