Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.45 / $53.45 / $53.45	Facility		$53.45	$53.45	$53.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $50.36 / $53.45	Professional		$17.35	$50.36	$53.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $44.55 / $54.25	Facility		$16.34	$44.55	$54.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $46.51 / $121.19	Professional		$39.90	$46.51	$121.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $26.24 / $32.88	Facility		$22.29	$26.24	$32.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Facility		$20.88	$20.88	$20.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $17.64 / $79.53	Professional		$9.67	$17.64	$79.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $26.56 / $207.06	Professional		$20.14	$26.56	$207.06
United Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $44.13 / $77.06	Professional		$30.61	$44.13	$77.06