Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $39.64 / $69.70	Facility		$14.62	$39.64	$69.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $17.59 / $39.33	Professional		$14.62	$17.59	$39.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $28.10 / $72.23	Facility		$15.89	$28.10	$72.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $10.86 / $44.92	Professional		$8.14	$10.86	$44.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $21.99 / $35.18	Facility		$15.00	$21.99	$35.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $48.38 / $67.94	Facility		$21.93	$48.38	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $26.85 / $33.56	Professional		$13.60	$26.85	$33.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $28.59 / $78.97	Professional		$24.03	$28.59	$78.97
United Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $12.60 / $27.49	Facility		$12.09	$12.60	$27.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $18.00 / $40.18	Professional		$12.09	$18.00	$40.18