Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $34.67 / $107.15	Facility		$25.12	$34.67	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $38.90	Professional		$25.12	$30.20	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $100.00	Facility		$38.90	$48.98	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $38.90 / $46.77	Professional		$15.49	$38.90	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $117.49	Facility		$42.66	$75.86	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $46.77 / $58.88	Professional		$17.78	$46.77	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $72.44	Professional		$42.66	$44.67	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $34.67 / $38.90	Facility		$21.38	$34.67	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $56.23	Professional		$16.22	$22.91	$56.23