Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $46.77	Facility		$18.20	$18.20	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $33.88	Professional		$15.85	$19.05	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $93.33 / $144.54	Facility		$38.90	$93.33	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $48.98	Professional		$20.89	$32.36	$48.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $61.66	Facility		$25.70	$25.70	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $44.67	Professional		$18.62	$18.62	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.90 / $53.70	Professional		$18.62	$38.90	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.60 / $22.91	Facility		$10.72	$16.60	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $33.11	Professional		$12.88	$18.62	$33.11