Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $57.70 / $99.32	Facility		$20.83	$57.70	$99.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $20.83 / $28.82	Professional		$18.80	$20.83	$28.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $31.33 / $95.45	Facility		$13.73	$31.33	$95.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.54 / $31.33	Professional		$4.90	$6.54	$31.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $31.33 / $50.13	Facility		$21.56	$31.33	$50.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $68.93 / $86.53	Facility		$40.72	$68.93	$86.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $38.00 / $47.50	Professional		$35.93	$38.00	$47.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $36.03 / $40.72	Professional		$34.46	$36.03	$40.72
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $18.80 / $31.33	Professional		$13.16	$18.80	$31.33