Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $28.54 / $67.79	Facility		$28.54	$28.54	$67.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $32.06 / $41.52	Professional		$27.04	$32.06	$41.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.10 / $84.14 / $220.57	Facility		$60.10	$84.14	$220.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $49.97 / $95.94	Professional		$31.94	$49.97	$95.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.55 / $51.09 / $111.19	Facility		$49.55	$51.09	$111.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $51.09 / $51.09	Professional		$51.09	$51.09	$51.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Facility		$43.99	$43.99	$43.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $37.83 / $69.38	Professional		$32.11	$37.83	$69.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $60.10 / $92.26	Professional		$45.68	$60.10	$92.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $29.98 / $49.46	Professional		$19.98	$29.98	$49.46