Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $95.50	Facility		$32.36	$32.36	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $64.57	Professional		$28.84	$33.88	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $190.55 / $288.40	Facility		$79.43	$190.55	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $97.72	Professional		$36.31	$64.57	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $109.65	Facility		$37.15	$37.15	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $69.18	Professional		$26.92	$26.92	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $107.15	Professional		$44.67	$79.43	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $41.69 / $46.77	Facility		$22.91	$41.69	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $69.18	Professional		$25.70	$38.90	$69.18