Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $57.54	Professional		$33.88	$40.74	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $56.23 / $97.72	Professional		$4.90	$56.23	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $58.88 / $77.62	Facility		$6.76	$58.88	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $51.29 / $77.62	Professional		$6.76	$51.29	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $93.33	Professional		$39.81	$46.77	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $165.96	Professional		$63.10	$83.18	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $26.30 / $57.54	Facility		$3.55	$26.30	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $75.86	Professional		$26.30	$42.66	$75.86