Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $53.01 / $399.00	Facility		$19.64	$53.01	$399.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $26.37 / $48.27	Professional		$19.64	$26.37	$48.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $37.72 / $102.17	Facility		$21.32	$37.72	$102.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $14.58 / $59.17	Professional		$10.93	$14.58	$59.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $29.53 / $47.25	Facility		$20.14	$29.53	$47.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $64.97 / $90.90	Facility		$29.35	$64.97	$90.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $35.93 / $44.91	Professional		$18.18	$35.93	$44.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $38.39 / $106.10	Professional		$32.27	$38.39	$106.10
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $24.31 / $53.95	Professional		$16.23	$24.31	$53.95