Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $39.90 / $190.20	Facility		$18.73	$39.90	$190.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $47.40 / $57.00	Professional		$36.00	$47.40	$57.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $65.16 / $207.60	Facility		$24.00	$65.16	$207.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.00 / $54.00	Professional		$18.00	$24.00	$54.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $60.00 / $96.00	Facility		$27.36	$60.00	$96.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $94.38 / $132.00	Facility		$21.40	$94.38	$132.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $73.09 / $91.38	Professional		$11.89	$73.09	$91.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $69.00 / $90.40	Professional		$60.19	$69.00	$90.40
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Facility		$54.00	$54.00	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $21.07 / $60.00	Professional		$11.43	$21.07	$60.00