Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $112.20	Facility		$42.66	$42.66	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $81.28	Professional		$38.90	$46.77	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $223.87 / $346.74	Facility		$93.33	$223.87	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $117.49	Professional		$47.86	$77.62	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $147.91	Facility		$57.54	$57.54	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $107.15	Professional		$41.69	$41.69	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $128.82	Professional		$61.66	$93.33	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $39.81 / $54.95	Facility		$25.70	$39.81	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $79.43	Professional		$30.90	$44.67	$79.43