Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $20.49 / $48.66	Facility		$20.49	$20.49	$48.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $23.02 / $32.47	Professional		$19.41	$23.02	$32.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.14 / $60.40 / $158.32	Facility		$43.14	$60.40	$158.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $35.86 / $68.87	Professional		$22.44	$35.86	$68.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $36.67 / $79.81	Facility		$35.60	$36.67	$79.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Professional		$36.67	$36.67	$36.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Facility		$26.67	$26.67	$26.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $26.67 / $49.88	Professional		$19.47	$26.67	$49.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $43.14 / $59.84	Professional		$30.92	$43.14	$59.84
United Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $21.52 / $35.86	Professional		$14.35	$21.52	$35.86