Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $31.45 / $74.70	Facility		$31.45	$31.45	$74.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $35.35 / $49.28	Professional		$29.80	$35.35	$49.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $92.72 / $243.06	Facility		$66.23	$92.72	$243.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $55.07 / $105.73	Professional		$34.47	$55.07	$105.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $56.30 / $122.53	Facility		$54.68	$56.30	$122.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $56.30 / $56.30	Professional		$56.30	$56.30	$56.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $36.78	Facility		$36.78	$36.78	$36.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $26.85 / $78.84	Professional		$26.85	$26.85	$78.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $66.23 / $92.03	Professional		$46.92	$66.23	$92.03
United Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $33.04 / $57.31	Professional		$22.03	$33.04	$57.31