Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $119.68	Facility		$19.80	$19.80	$119.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $25.43 / $31.69	Professional		$19.80	$25.43	$31.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $66.56 / $174.47	Facility		$47.54	$66.56	$174.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $42.13 / $81.45	Professional		$28.62	$42.13	$81.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.24 / $40.40 / $87.95	Facility		$39.24	$40.40	$87.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Professional		$40.40	$40.40	$40.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $46.35	Facility		$30.59	$30.59	$46.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $29.93 / $54.75	Professional		$22.33	$29.93	$54.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $47.54 / $87.00	Professional		$36.13	$47.54	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $23.87 / $41.09	Professional		$17.60	$23.87	$41.09