Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $64.57	Facility		$23.99	$23.99	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $45.71	Professional		$21.88	$25.70	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $125.89 / $194.98	Facility		$53.70	$125.89	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $66.07	Professional		$27.54	$43.65	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $83.18	Facility		$34.67	$34.67	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $60.26	Professional		$25.70	$25.70	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $72.44	Professional		$34.67	$53.70	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.91 / $31.62	Facility		$14.45	$22.91	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $45.71	Professional		$17.38	$25.12	$45.71