Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $19.85 / $56.24	Facility		$19.85	$19.85	$56.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $27.82 / $36.90	Professional		$19.85	$27.82	$36.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $66.72 / $174.91	Facility		$47.66	$66.72	$174.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $39.61 / $76.06	Professional		$25.41	$39.61	$76.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.51 / $47.66 / $93.41	Facility		$40.51	$47.66	$93.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $40.51 / $40.51	Professional		$40.51	$40.51	$40.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $29.78	Facility		$29.78	$29.78	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $29.77 / $55.13	Professional		$21.74	$29.77	$55.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $47.66 / $66.03	Professional		$36.22	$47.66	$66.03
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.77 / $39.22	Professional		$18.62	$23.77	$39.22