Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $59.06	Facility		$24.86	$24.86	$59.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $27.95 / $39.42	Professional		$23.55	$27.95	$39.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $73.30 / $192.16	Facility		$52.36	$73.30	$192.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $43.53 / $83.58	Professional		$27.25	$43.53	$83.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $44.51 / $96.87	Facility		$43.21	$44.51	$96.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $44.51 / $44.51	Professional		$44.51	$44.51	$44.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $36.33	Facility		$36.33	$36.33	$36.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $62.28	Professional		$26.52	$26.52	$62.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $52.36 / $73.06	Professional		$39.79	$52.36	$73.06
United Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $23.01 / $25.77	Facility		$14.31	$23.01	$25.77
United Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $26.12 / $43.10	Professional		$17.41	$26.12	$43.10