Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $32.70 / $92.63	Facility		$32.70	$32.70	$92.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $41.91 / $52.32	Professional		$32.70	$41.91	$52.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.50 / $109.90 / $288.10	Facility		$78.50	$109.90	$288.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $84.10 / $125.32	Professional		$52.46	$84.10	$125.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $66.73 / $145.22	Facility		$64.80	$66.73	$145.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $66.73 / $66.73	Professional		$66.73	$66.73	$66.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Facility		$62.01	$62.01	$62.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $90.38	Professional		$52.71	$52.71	$90.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $78.50 / $221.00	Professional		$59.66	$78.50	$221.00
United Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $48.63 / $52.45	Facility		$29.01	$48.63	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $39.15 / $64.63	Professional		$26.11	$39.15	$64.63