Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $32.70 / $92.63	Facility		$32.70	$32.70	$92.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $41.31 / $52.32	Professional		$32.70	$41.31	$52.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.50 / $109.90 / $288.10	Facility		$78.50	$109.90	$288.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $65.27 / $125.32	Professional		$39.02	$65.27	$125.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $66.73 / $145.22	Facility		$60.92	$66.73	$145.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $66.73 / $66.73	Professional		$66.73	$66.73	$66.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $48.15	Facility		$48.15	$48.15	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $47.11 / $85.57	Professional		$35.15	$47.11	$85.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $78.50 / $109.22	Professional		$59.66	$78.50	$109.22
United Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $39.15 / $64.63	Professional		$26.11	$39.15	$64.63