Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $63.26 / $269.50	Facility		$23.33	$63.26	$269.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $31.52 / $61.67	Professional		$23.33	$31.52	$61.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $38.77 / $121.41	Facility		$22.85	$38.77	$121.41
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 $35.09 / $50.88 / $75.41	Facility		$35.09	$50.88	$75.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $62.10 / $108.68	Facility		$34.83	$62.10	$108.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $42.18 / $105.92	Professional		$17.55	$42.18	$105.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $45.62 / $274.68	Professional		$31.58	$45.62	$274.68
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $63.76	Professional		$14.74	$21.05	$63.76