Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $46.77 / $114.82	Facility		$27.54	$46.77	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $36.31	Professional		$21.88	$26.92	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $37.15 / $44.67	Facility		$21.88	$37.15	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $46.77	Professional		$13.49	$20.42	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $66.07 / $102.33	Facility		$33.88	$66.07	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $41.69 / $51.29	Professional		$15.49	$41.69	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $169.82	Professional		$37.15	$47.86	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $33.88	Facility		$15.14	$30.20	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $58.88	Professional		$14.13	$20.42	$58.88