Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.86 / $89.13	Facility		$23.99	$47.86	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $30.90	Professional		$16.98	$21.88	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $33.88 / $45.71	Facility		$17.38	$33.88	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.42 / $53.70	Professional		$13.18	$20.42	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $52.48 / $81.28	Facility		$26.30	$52.48	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $39.81	Professional		$16.22	$32.36	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $95.50	Professional		$28.84	$38.02	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.99 / $33.11	Facility		$15.49	$23.99	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $48.98	Professional		$11.22	$17.78	$48.98