Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $51.68 / $91.39	Facility		$19.17	$51.68	$91.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $25.08 / $42.10	Professional		$19.17	$25.08	$42.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $36.83 / $99.75	Facility		$20.81	$36.83	$99.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $14.24 / $57.78	Professional		$10.68	$14.24	$57.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $28.83 / $46.13	Facility		$19.23	$28.83	$46.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $63.43 / $88.83	Facility		$28.70	$63.43	$88.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $35.10 / $43.88	Professional		$17.72	$35.10	$43.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $37.47 / $103.60	Professional		$31.50	$37.47	$103.60
United Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $23.10 / $52.39	Professional		$16.92	$23.10	$52.39