Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $104.71	Facility		$28.18	$56.23	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $45.71	Professional		$19.95	$25.70	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $39.81 / $53.70	Facility		$19.95	$39.81	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $63.10	Professional		$15.14	$23.99	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $95.50	Facility		$30.90	$60.26	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $46.77	Professional		$19.05	$37.15	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $112.20	Professional		$33.88	$43.65	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.18 / $37.15	Facility		$18.20	$28.18	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $56.23	Professional		$12.88	$20.89	$56.23