Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $37.31 / $88.62	Facility		$37.31	$37.31	$88.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $41.93 / $59.17	Professional		$35.35	$41.93	$59.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $110.00 / $288.35	Facility		$78.56	$110.00	$288.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $65.33 / $125.43	Professional		$41.88	$65.33	$125.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $66.78 / $145.35	Facility		$64.84	$66.78	$145.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Professional		$66.78	$66.78	$66.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Facility		$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $43.62 / $90.75	Professional		$31.84	$43.62	$90.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $78.56 / $109.04	Professional		$59.71	$78.56	$109.04
United Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $39.20 / $64.66	Professional		$26.13	$39.20	$64.66