Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $59.99	Facility		$21.18	$21.18	$59.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $27.14 / $33.89	Professional		$21.18	$27.14	$33.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $71.18 / $186.58	Facility		$50.84	$71.18	$186.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $49.65 / $90.00	Professional		$28.87	$49.65	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.95 / $43.21 / $94.05	Facility		$41.95	$43.21	$94.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $43.21 / $43.21	Professional		$43.21	$43.21	$43.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $40.14	Facility		$40.14	$40.14	$40.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $58.50	Professional		$34.11	$34.11	$58.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $50.84 / $82.11	Professional		$38.64	$50.84	$82.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $25.37 / $42.28	Professional		$16.91	$25.37	$42.28