Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $61.03 / $107.59	Facility		$22.57	$61.03	$107.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $29.58 / $48.53	Professional		$22.57	$29.58	$48.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $43.36 / $117.43	Facility		$24.50	$43.36	$117.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $16.76 / $68.02	Professional		$12.57	$16.76	$68.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $33.94 / $54.30	Facility		$23.16	$33.94	$54.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $74.67 / $104.48	Facility		$33.86	$74.67	$104.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $41.30 / $51.63	Professional		$20.93	$41.30	$51.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $44.12 / $121.97	Professional		$37.09	$44.12	$121.97
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $24.78 / $61.67	Professional		$14.25	$24.78	$61.67