Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $30.95 / $111.30	Facility		$23.35	$30.95	$111.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $27.74 / $33.35	Professional		$21.07	$27.74	$33.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $38.11 / $121.48	Facility		$20.02	$38.11	$121.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $14.04 / $35.22	Professional		$10.53	$14.04	$35.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $35.11 / $56.18	Facility		$19.48	$35.11	$56.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $58.00 / $77.23	Facility		$35.15	$58.00	$77.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $42.95 / $53.69	Professional		$12.80	$42.95	$53.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $40.38 / $52.90	Professional		$31.97	$40.38	$52.90
United Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $19.30	Facility		$9.63	$9.63	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $16.69 / $26.88	Professional		$10.38	$16.69	$26.88