Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.91 / $21.47 / $142.80	Facility		$7.91	$21.47	$142.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $10.34 / $21.39	Professional		$7.91	$10.34	$21.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $15.19 / $41.14	Facility		$8.58	$15.19	$41.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.87 / $23.84	Professional		$4.40	$5.87	$23.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $11.89 / $19.02	Facility		$8.08	$11.89	$19.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $26.16 / $36.77	Facility		$11.93	$26.16	$36.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $14.46 / $18.07	Professional		$7.33	$14.46	$18.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $15.46 / $42.74	Professional		$12.99	$15.46	$42.74
United Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $10.70 / $10.70	Facility		$10.70	$10.70	$10.70
United Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $8.11 / $16.62	Professional		$4.99	$8.11	$16.62