Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $75.86	Facility		$25.12	$25.12	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $56.23	Professional		$25.12	$34.67	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $147.91 / $229.09	Facility		$63.10	$147.91	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $83.18	Professional		$33.88	$51.29	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $112.20	Facility		$44.67	$44.67	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $75.86	Professional		$33.11	$33.11	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $85.11	Professional		$43.65	$63.10	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $42.66 / $48.98	Facility		$23.44	$42.66	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $60.26	Professional		$20.42	$30.90	$60.26