Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $53.46 / $94.09	Facility		$19.73	$53.46	$94.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $23.74 / $53.10	Professional		$19.73	$23.74	$53.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $37.92 / $102.69	Facility		$21.42	$37.92	$102.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $14.66 / $59.48	Professional		$10.99	$14.66	$59.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.82 / $29.68 / $47.49	Facility		$23.82	$29.68	$47.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $65.30 / $91.95	Facility		$29.67	$65.30	$91.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $36.34 / $45.43	Professional		$18.32	$36.34	$45.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $38.58 / $106.64	Professional		$32.43	$38.58	$106.64
United Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $36.72	Facility		$26.71	$26.71	$36.72
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $20.25 / $41.47	Professional		$12.47	$20.25	$41.47