Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $34.75 / $129.54	Facility		$12.90	$34.75	$129.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $16.88 / $28.33	Professional		$12.90	$16.88	$28.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $24.79 / $67.12	Facility		$14.00	$24.79	$67.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $9.58 / $39.04	Professional		$7.18	$9.58	$39.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $19.39 / $31.04	Facility		$13.23	$19.39	$31.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $42.68 / $59.57	Facility		$19.35	$42.68	$59.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $23.54 / $29.43	Professional		$11.92	$23.54	$29.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $25.22 / $69.70	Professional		$21.20	$25.22	$69.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.17 / $35.25	Professional		$10.00	$14.17	$35.25