Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $33.18 / $51.28	Professional		$27.93	$33.18	$51.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $66.84 / $66.84	Facility		$66.84	$66.84	$66.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $50.20 / $104.77	Professional		$4.96	$50.20	$104.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $43.49 / $107.77	Facility		$5.69	$43.49	$107.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $42.62 / $57.96	Professional		$5.69	$42.62	$57.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $46.89	Facility		$44.42	$44.42	$46.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $44.42 / $77.63	Professional		$37.76	$44.42	$77.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $66.84 / $137.09	Professional		$10.67	$66.84	$137.09
United Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $33.02 / $57.65	Professional		$22.01	$33.02	$57.65