Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $30.73 / $73.00	Facility		$30.73	$30.73	$73.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $34.53 / $48.74	Professional		$29.12	$34.53	$48.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.72 / $90.61 / $237.52	Facility		$64.72	$90.61	$237.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $53.81 / $103.32	Professional		$34.44	$53.81	$103.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $55.01 / $119.73	Facility		$53.39	$55.01	$119.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $55.01 / $55.01	Professional		$55.01	$55.01	$55.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Facility		$38.36	$38.36	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.36 / $74.63	Professional		$28.00	$38.36	$74.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $64.72 / $89.41	Professional		$49.19	$64.72	$89.41
United Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $32.29 / $53.26	Professional		$21.52	$32.29	$53.26