Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $21.95 / $52.13	Facility		$21.95	$21.95	$52.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $24.66 / $30.81	Professional		$20.80	$24.66	$30.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $64.69 / $169.59	Facility		$46.21	$64.69	$169.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $38.43 / $73.79	Professional		$24.25	$38.43	$73.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $39.28 / $85.49	Facility		$38.15	$39.28	$85.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $27.10 / $55.97	Professional		$19.78	$27.10	$55.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $46.21 / $64.06	Professional		$27.46	$46.21	$64.06
United Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $22.75 / $38.04	Professional		$15.37	$22.75	$38.04