Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $25.55 / $72.36	Facility		$25.55	$25.55	$72.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $36.27 / $49.73	Professional		$25.55	$36.27	$49.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.32 / $85.85 / $225.04	Facility		$61.32	$85.85	$225.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $50.98 / $97.88	Professional		$33.26	$50.98	$97.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $66.23 / $113.44	Facility		$52.12	$66.23	$113.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $52.12 / $52.12	Professional		$52.12	$52.12	$52.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $43.98 / $80.63	Professional		$32.81	$43.98	$80.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $61.32 / $85.32	Professional		$46.60	$61.32	$85.32
United Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $30.59 / $50.46	Professional		$23.95	$30.59	$50.46