Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $41.10 / $67.59	Professional		$34.59	$41.10	$67.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $64.80 / $134.69	Professional		$5.86	$64.80	$134.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $58.57 / $129.43	Facility		$7.09	$58.57	$129.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $51.19 / $78.09	Professional		$6.83	$51.19	$78.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $46.80 / $92.25	Professional		$39.78	$46.80	$92.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $80.29 / $177.00	Professional		$61.02	$80.29	$177.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $42.74 / $77.06	Professional		$27.27	$42.74	$77.06