Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $33.65 / $79.95	Facility		$33.65	$33.65	$79.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $37.82 / $47.23	Professional		$31.88	$37.82	$47.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $99.20 / $260.06	Facility		$70.86	$99.20	$260.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $58.92 / $113.13	Professional		$37.72	$58.92	$113.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $60.23 / $131.09	Facility		$58.46	$60.23	$131.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $60.23 / $60.23	Professional		$60.23	$60.23	$60.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $39.35	Facility		$39.35	$39.35	$39.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $39.34 / $81.75	Professional		$28.73	$39.34	$81.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $70.86 / $98.41	Professional		$34.04	$70.86	$98.41
United Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $35.35 / $58.92	Professional		$23.57	$35.35	$58.92