Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $27.18 / $83.33	Facility		$10.17	$27.18	$83.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $13.30 / $22.93	Professional		$10.17	$13.30	$22.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $16.89 / $52.90	Facility		$8.75	$16.89	$52.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.44 / $15.88	Professional		$5.58	$7.44	$15.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $15.29 / $24.46	Facility		$9.34	$15.29	$24.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $33.64 / $47.39	Facility		$15.16	$33.64	$47.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $16.18 / $20.45	Professional		$9.32	$16.18	$20.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $19.88 / $128.16	Professional		$16.71	$19.88	$128.16
United Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $9.17 / $23.61	Professional		$8.75	$9.17	$23.61