Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $33.88 / $94.21	Facility		$12.23	$33.88	$94.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $16.00 / $26.85	Professional		$12.23	$16.00	$26.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $23.50 / $63.63	Facility		$13.28	$23.50	$63.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $9.08 / $36.08	Professional		$6.81	$9.08	$36.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $18.39 / $29.42	Facility		$12.55	$18.39	$29.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $40.46 / $57.20	Facility		$18.38	$40.46	$57.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $22.30 / $27.88	Professional		$11.30	$22.30	$27.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $23.91 / $66.09	Professional		$20.10	$23.91	$66.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $13.43 / $33.42	Professional		$10.79	$13.43	$33.42