Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $69.54	Facility		$29.27	$29.27	$69.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $32.90 / $45.82	Professional		$27.73	$32.90	$45.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.64 / $86.30 / $226.22	Facility		$61.64	$86.30	$226.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.25 / $98.40	Professional		$32.36	$51.25	$98.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $52.39 / $114.03	Facility		$50.86	$52.39	$114.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $52.39 / $52.39	Professional		$52.39	$52.39	$52.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $70.88	Professional		$26.81	$36.72	$70.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $61.64 / $85.18	Professional		$46.85	$61.64	$85.18
United Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $30.75 / $50.74	Professional		$20.50	$30.75	$50.74