Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $41.69 / $91.20	Facility		$11.22	$41.69	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $26.92	Professional		$16.98	$20.89	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $26.92 / $35.48	Facility		$10.23	$26.92	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.96 / $19.95	Professional		$8.32	$10.96	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $52.48 / $83.18	Facility		$26.92	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $33.11 / $41.69	Professional		$12.30	$33.11	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $30.90 / $51.29	Professional		$10.96	$30.90	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $24.55 / $26.92	Facility		$12.30	$24.55	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $11.48 / $35.48	Professional		$4.07	$11.48	$35.48