Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $32.52 / $92.11	Facility		$32.52	$32.52	$92.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $37.29 / $52.03	Professional		$28.78	$37.29	$52.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $109.28 / $286.48	Facility		$78.06	$109.28	$286.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $64.91 / $124.63	Professional		$35.46	$64.91	$124.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $66.34 / $144.41	Facility		$60.19	$66.34	$144.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $66.34 / $66.34	Professional		$66.34	$66.34	$66.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $37.25	Facility		$37.25	$37.25	$37.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $37.25 / $78.41	Professional		$27.19	$37.25	$78.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $78.06 / $108.69	Professional		$59.33	$78.06	$108.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $38.95 / $64.25	Professional		$25.96	$38.95	$64.25