Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $21.01 / $56.13	Facility		$21.01	$21.01	$56.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $24.65 / $29.39	Professional		$16.75	$24.65	$29.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $31.60 / $40.52	Facility		$9.26	$31.60	$40.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $4.41 / $31.60	Professional		$3.30	$4.41	$31.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $44.24 / $67.92	Facility		$20.54	$44.24	$67.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $69.52 / $87.44	Facility		$49.71	$69.52	$87.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $38.40 / $48.01	Professional		$36.34	$38.40	$48.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $36.34 / $41.08	Professional		$34.76	$36.34	$41.08
United Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $18.96 / $31.60	Professional		$13.90	$18.96	$31.60