Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $24.55 / $75.86	Facility		$18.20	$24.55	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $28.84	Professional		$18.20	$20.89	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $34.67 / $69.18	Facility		$26.92	$34.67	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $26.92 / $33.11	Professional		$10.96	$26.92	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $83.18	Facility		$30.20	$57.54	$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 $29.51 / $30.90 / $51.29	Professional		$29.51	$30.90	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $24.55 / $26.92	Facility		$14.79	$24.55	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $38.90	Professional		$11.48	$16.22	$38.90