Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $46.07 / $79.25	Facility		$16.63	$46.07	$79.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.50 / $24.00	Professional		$15.00	$17.50	$24.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $27.63 / $52.00	Facility		$18.75	$27.63	$52.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $28.92 / $49.05	Professional		$21.69	$28.92	$49.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $36.25 / $53.74	Facility		$25.00	$36.25	$53.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $55.00 / $77.31	Facility		$37.35	$55.00	$77.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $140.27 / $140.27	Professional		$14.63	$140.27	$140.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $44.49 / $195.80	Professional		$22.50	$44.49	$195.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.00 / $43.76	Professional		$10.50	$15.00	$43.76