Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $58.53 / $124.45	Facility		$21.93	$58.53	$124.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $36.11 / $90.30	Professional		$26.11	$36.11	$90.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $42.79 / $135.84	Facility		$25.57	$42.79	$135.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $53.72	Professional		$17.32	$17.32	$53.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $56.93 / $84.39	Facility		$39.26	$56.93	$84.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $66.00 / $109.48	Facility		$39.02	$66.00	$109.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $42.18 / $117.07	Professional		$19.51	$42.18	$117.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $51.04 / $307.32	Professional		$35.33	$51.04	$307.32
United Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $23.56 / $71.34	Professional		$16.04	$23.56	$71.34