Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $72.12	Facility		$25.46	$25.46	$72.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $33.60 / $40.74	Professional		$25.46	$33.60	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.12 / $85.57 / $224.31	Facility		$61.12	$85.57	$224.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $50.82 / $97.57	Professional		$32.58	$50.82	$97.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.93 / $51.95 / $113.07	Facility		$48.93	$51.95	$113.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $51.95 / $51.95	Professional		$51.95	$51.95	$51.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $35.97	Facility		$35.97	$35.97	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $35.97 / $66.75	Professional		$26.26	$35.97	$66.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $61.12 / $104.51	Professional		$46.45	$61.12	$104.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $30.49 / $50.82	Professional		$20.32	$30.49	$50.82