Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $36.08 / $94.47	Facility		$19.82	$36.08	$94.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $27.71 / $53.72	Professional		$19.82	$27.71	$53.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $32.36 / $103.11	Facility		$19.79	$32.36	$103.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $11.92 / $44.08	Professional		$11.92	$11.92	$44.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $43.21 / $64.06	Facility		$29.80	$43.21	$64.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $53.28 / $82.75	Facility		$29.67	$53.28	$82.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $35.65 / $77.78	Professional		$13.64	$35.65	$77.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $42.32 / $231.18	Professional		$29.80	$42.32	$231.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $17.88 / $61.37	Professional		$12.52	$17.88	$61.37