Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $760.76	Facility		$21.70	$21.70	$760.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $29.28 / $34.81	Professional		$21.70	$29.28	$34.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $46.15 / $281.30	Professional		$36.40	$46.15	$281.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.91 / $78.12 / $102.08	Facility		$72.91	$78.12	$102.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $34.94 / $34.94	Professional		$34.94	$34.94	$34.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $520.00 / $578.00	Professional		$52.08	$520.00	$578.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $26.78 / $42.91	Professional		$24.72	$26.78	$42.91