Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $87.10	Facility		$33.11	$33.11	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $63.10	Professional		$30.20	$36.31	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $169.82 / $263.03	Facility		$72.44	$169.82	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $89.13	Professional		$38.02	$58.88	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $112.20	Facility		$38.90	$38.90	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $81.28	Professional		$28.84	$28.84	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $72.44 / $97.72	Professional		$33.88	$72.44	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.90 / $42.66	Facility		$19.95	$30.90	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $61.66	Professional		$23.44	$34.67	$61.66