Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $85.11	Facility		$33.11	$33.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $61.66	Professional		$32.36	$37.15	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $169.82 / $263.03	Facility		$70.79	$169.82	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $95.50	Professional		$37.15	$57.54	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $125.89	Facility		$43.65	$43.65	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $85.11	Professional		$31.62	$31.62	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $104.71	Professional		$50.12	$70.79	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $34.67 / $46.77	Facility		$21.88	$34.67	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $67.61	Professional		$23.44	$34.67	$67.61