Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $47.67 / $84.26	Facility		$17.68	$47.67	$84.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $21.26 / $47.54	Professional		$17.68	$21.26	$47.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $33.96 / $91.97	Facility		$19.19	$33.96	$91.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $13.12 / $53.26	Professional		$9.84	$13.12	$53.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $26.58 / $42.53	Facility		$13.73	$26.58	$42.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $58.48 / $81.52	Facility		$26.44	$58.48	$81.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $32.21 / $40.26	Professional		$16.35	$32.21	$40.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $34.54 / $95.49	Professional		$29.04	$34.54	$95.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $20.79 / $46.99	Professional		$11.16	$20.79	$46.99