Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $91.77 / $103.41	Facility		$21.69	$91.77	$103.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $28.38 / $47.84	Professional		$17.29	$28.38	$47.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $41.68 / $112.87	Facility		$23.55	$41.68	$112.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $16.11 / $65.34	Professional		$12.08	$16.11	$65.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $32.61 / $52.19	Facility		$21.76	$32.61	$52.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $71.76 / $100.31	Facility		$32.57	$71.76	$100.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $39.65 / $49.56	Professional		$31.47	$39.65	$49.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $42.41 / $117.16	Professional		$35.64	$42.41	$117.16
United Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $29.36 / $29.36	Facility		$29.36	$29.36	$29.36
United Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $23.81 / $45.56	Professional		$14.68	$23.81	$45.56