Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $75.86	Facility		$28.84	$28.84	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $54.95	Professional		$25.70	$30.90	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $147.91 / $229.09	Facility		$63.10	$147.91	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $77.62	Professional		$32.36	$51.29	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $97.72	Facility		$36.31	$36.31	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $70.79	Professional		$26.92	$26.92	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $85.11	Professional		$40.74	$63.10	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.92 / $37.15	Facility		$17.38	$26.92	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $53.70	Professional		$20.42	$30.20	$53.70