Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $36.08 / $63.56	Facility		$13.33	$36.08	$63.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.64 / $53.72	Professional		$13.33	$18.64	$53.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $25.61 / $69.37	Facility		$14.47	$25.61	$69.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $41.93	Professional		$9.90	$9.90	$41.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $29.07 / $43.10	Facility		$20.05	$29.07	$43.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $44.11 / $62.92	Facility		$19.98	$44.11	$62.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $32.88 / $60.22	Professional		$10.02	$32.88	$60.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $28.47 / $155.03	Professional		$20.05	$28.47	$155.03
United Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $24.81	Facility		$18.05	$18.05	$24.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $14.64 / $36.43	Professional		$8.42	$14.64	$36.43