Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $52.48 / $97.72	Facility		$25.70	$52.48	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $33.88	Professional		$19.05	$25.12	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.15 / $50.12	Facility		$18.62	$37.15	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.39 / $58.88	Professional		$14.13	$22.39	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $57.54 / $87.10	Facility		$28.84	$57.54	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $35.48 / $43.65	Professional		$17.78	$35.48	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $104.71	Professional		$31.62	$40.74	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $34.67	Facility		$16.98	$25.70	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $52.48	Professional		$12.02	$20.42	$52.48