Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $99.13	Facility		$35.00	$35.00	$99.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $49.84 / $56.00	Professional		$35.00	$49.84	$56.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $117.61 / $308.32	Facility		$84.01	$117.61	$308.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $69.86 / $134.13	Professional		$44.79	$69.86	$134.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $78.67 / $155.41	Facility		$71.41	$78.67	$155.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $71.41 / $71.41	Professional		$71.41	$71.41	$71.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $59.87 / $59.87	Facility		$59.87	$59.87	$59.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $58.59 / $107.25	Professional		$43.71	$58.59	$107.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $84.01 / $116.64	Professional		$63.85	$84.01	$116.64
United Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $41.92 / $69.15	Professional		$27.94	$41.92	$69.15