Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $63.10	Professional		$34.67	$41.69	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $60.26 / $95.50	Professional		$5.75	$60.26	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $58.88 / $77.62	Facility		$7.08	$58.88	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $52.48 / $77.62	Professional		$7.08	$52.48	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Facility		$54.95	$54.95	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $97.72	Professional		$46.77	$54.95	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $138.04	Professional		$63.10	$72.44	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $30.90 / $60.26	Facility		$3.80	$30.90	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $77.62	Professional		$28.18	$46.77	$77.62