Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $26.92 / $134.90	Facility		$11.48	$26.92	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.20 / $39.81	Professional		$12.02	$30.20	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $52.48	Facility		$16.22	$39.81	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $29.51	Professional		$10.00	$16.22	$29.51
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 $27.54 / $64.57 / $123.03	Facility		$27.54	$64.57	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $48.98 / $61.66	Professional		$7.24	$48.98	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $75.86	Professional		$37.15	$45.71	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $36.31 / $39.81	Facility		$8.71	$36.31	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $16.98 / $50.12	Professional		$7.41	$16.98	$50.12