Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $64.62 / $111.24	Facility		$23.33	$64.62	$111.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $29.83 / $33.69	Professional		$23.33	$29.83	$33.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $38.20 / $106.91	Facility		$22.85	$38.20	$106.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $19.10 / $67.02	Professional		$14.32	$19.10	$67.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $50.88 / $75.41	Facility		$35.09	$50.88	$75.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $77.20 / $108.68	Facility		$45.62	$77.20	$108.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $196.72 / $196.72	Professional		$28.07	$196.72	$196.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $45.62 / $274.68	Professional		$31.58	$45.62	$274.68
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $61.43	Professional		$14.74	$21.05	$61.43