Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $40.00	Facility		$16.84	$16.84	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $18.89 / $24.48	Professional		$15.96	$18.89	$24.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $49.66 / $130.16	Facility		$35.47	$49.66	$130.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $29.49 / $56.62	Professional		$18.86	$29.49	$56.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $30.15 / $65.62	Facility		$29.24	$30.15	$65.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $23.58	Facility		$23.58	$23.58	$23.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $22.30 / $40.88	Professional		$17.21	$22.30	$40.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $35.47 / $49.26	Professional		$26.96	$35.47	$49.26
United Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $15.57 / $17.44	Facility		$9.68	$15.57	$17.44
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $17.69 / $29.19	Professional		$11.80	$17.69	$29.19