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 $32.36 / $38.02 / $64.57	Professional		$32.36	$38.02	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $190.55 / $295.12	Facility		$79.43	$190.55	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $117.49	Professional		$46.77	$64.57	$117.49
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 $61.66 / $61.66 / $114.82	Facility		$61.66	$61.66	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $91.20	Professional		$52.48	$52.48	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $208.93	Professional		$52.48	$79.43	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $52.48 / $54.95	Facility		$28.84	$52.48	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $75.86	Professional		$26.30	$38.90	$75.86