Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $77.62	Facility		$28.84	$28.84	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $56.23	Professional		$25.70	$32.36	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $151.36 / $234.42	Facility		$64.57	$151.36	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $79.43	Professional		$33.11	$52.48	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $100.00	Facility		$34.67	$34.67	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $72.44	Professional		$25.70	$25.70	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $87.10	Professional		$41.69	$64.57	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $27.54 / $38.02	Facility		$17.78	$27.54	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $54.95	Professional		$20.89	$30.90	$54.95