Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $100.00	Facility		$26.92	$53.70	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $34.67	Professional		$19.05	$25.12	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.02 / $51.29	Facility		$19.50	$38.02	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $60.26	Professional		$14.79	$22.91	$60.26
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 $29.51 / $57.54 / $91.20	Facility		$29.51	$57.54	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $45.71	Professional		$18.20	$36.31	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $107.15	Professional		$32.36	$41.69	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.92 / $35.48	Facility		$17.38	$26.92	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $53.70	Professional		$12.59	$19.95	$53.70