Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $37.15 / $131.83	Facility		$21.88	$37.15	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $43.65	Professional		$22.91	$30.90	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $51.29	Facility		$25.12	$40.74	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $45.71	Professional		$15.49	$23.44	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $63.10 / $117.49	Facility		$38.90	$63.10	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $47.86 / $58.88	Professional		$13.80	$47.86	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $74.13	Professional		$42.66	$54.95	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $35.48 / $38.90	Facility		$16.60	$35.48	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.98 / $70.79	Professional		$13.18	$16.98	$70.79