Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $79.43	Facility		$30.20	$30.20	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $57.54	Professional		$26.92	$33.11	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $158.49 / $239.88	Facility		$66.07	$158.49	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $81.28	Professional		$34.67	$53.70	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $102.33	Facility		$38.02	$38.02	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $74.13	Professional		$28.18	$28.18	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $89.13	Professional		$42.66	$66.07	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.18 / $38.90	Facility		$18.20	$28.18	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.62 / $56.23	Professional		$21.38	$31.62	$56.23