Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $26.01 / $109.57	Facility		$12.99	$26.01	$109.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $12.77 / $25.44	Professional		$9.72	$12.77	$25.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $18.04 / $48.86	Facility		$10.19	$18.04	$48.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.97 / $28.32	Professional		$5.22	$6.97	$28.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $14.12 / $22.59	Facility		$9.18	$14.12	$22.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $14.12	Professional		$9.18	$9.18	$14.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $31.06 / $44.12	Facility		$14.19	$31.06	$44.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.00 / $19.05	Professional		$8.00	$10.00	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $18.36 / $50.76	Professional		$15.43	$18.36	$50.76
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $10.32 / $19.73	Professional		$5.93	$10.32	$19.73