Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $27.77 / $46.73	Professional		$23.38	$27.77	$46.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $54.25	Facility		$54.25	$54.25	$54.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $44.81 / $91.02	Professional		$3.96	$44.81	$91.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $39.60 / $87.45	Facility		$4.94	$39.60	$87.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $34.59 / $52.79	Professional		$4.62	$34.59	$52.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $39.15	Facility		$36.65	$36.65	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $36.65 / $66.75	Professional		$31.15	$36.65	$66.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $54.25 / $118.63	Professional		$6.40	$54.25	$118.63
United Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $28.65 / $51.13	Professional		$18.27	$28.65	$51.13