Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.74 / $62.99 / $108.38	Facility		$22.74	$62.99	$108.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $26.67 / $32.47	Professional		$13.14	$26.67	$32.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $34.19 / $104.16	Facility		$13.42	$34.19	$104.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.39 / $30.77	Professional		$4.79	$6.39	$30.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $34.19 / $54.70	Facility		$23.52	$34.19	$54.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $75.22 / $94.97	Facility		$53.78	$75.22	$94.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $41.71 / $52.14	Professional		$39.24	$41.71	$52.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $39.32 / $44.45	Professional		$37.61	$39.32	$44.45
United Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $18.80 / $42.74	Facility		$18.80	$18.80	$42.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $21.04 / $35.76	Professional		$14.73	$21.04	$35.76