Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $29.40 / $58.20	Facility		$12.21	$29.40	$58.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $14.89 / $29.56	Professional		$12.21	$14.89	$29.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $22.39 / $63.53	Facility		$13.25	$22.39	$63.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $8.10 / $34.04	Professional		$6.07	$8.10	$34.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $18.36 / $29.38	Facility		$13.69	$18.36	$29.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $40.39 / $56.42	Facility		$18.38	$40.39	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $22.30 / $27.88	Professional		$10.08	$22.30	$27.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $23.87 / $59.00	Professional		$20.05	$23.87	$59.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $13.43 / $22.94	Professional		$8.26	$13.43	$22.94