Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $44.54 / $107.34	Facility		$22.52	$44.54	$107.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $27.09 / $32.51	Professional		$20.32	$27.09	$32.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $36.90 / $117.16	Facility		$22.48	$36.90	$117.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $13.54 / $52.29	Professional		$10.15	$13.54	$52.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.86 / $54.18	Facility		$20.42	$33.86	$54.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $74.48 / $77.61	Facility		$33.86	$74.48	$77.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $41.30 / $51.63	Professional		$15.36	$41.30	$51.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $44.02 / $170.44	Professional		$37.00	$44.02	$170.44
United Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $20.43 / $34.68	Professional		$14.57	$20.43	$34.68