Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $50.34 / $95.64	Facility		$20.05	$50.34	$95.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $24.14 / $49.83	Professional		$20.05	$24.14	$49.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $38.01 / $104.39	Facility		$21.78	$38.01	$104.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $13.76 / $58.69	Professional		$10.32	$13.76	$58.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $30.17 / $48.27	Facility		$23.80	$30.17	$48.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $36.76 / $45.95	Professional		$34.69	$36.76	$45.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $39.22 / $100.08	Professional		$32.97	$39.22	$100.08
United Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $21.80 / $55.12	Professional		$16.35	$21.80	$55.12