Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.01 / $45.89 / $123.98	Facility		$26.01	$45.89	$123.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $31.29 / $49.91	Professional		$21.13	$31.29	$49.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $42.47 / $135.32	Facility		$25.96	$42.47	$135.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $15.64 / $55.34	Professional		$11.73	$15.64	$55.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $39.11 / $62.58	Facility		$22.62	$39.11	$62.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $68.67 / $86.04	Facility		$32.40	$68.67	$86.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $47.50 / $59.38	Professional		$17.75	$47.50	$59.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $50.84 / $91.52	Professional		$42.74	$50.84	$91.52
United Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $21.65 / $53.93	Professional		$14.95	$21.65	$53.93