Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $23.47 / $111.87	Facility		$13.41	$23.47	$111.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $28.23 / $40.58	Professional		$17.52	$28.23	$40.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $38.32 / $122.10	Facility		$16.44	$38.32	$122.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $14.12 / $31.76	Professional		$10.59	$14.12	$31.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $35.29 / $56.46	Facility		$22.43	$35.29	$56.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $58.00 / $77.64	Facility		$15.11	$58.00	$77.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $42.95 / $53.69	Professional		$8.41	$42.95	$53.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $43.10 / $53.17	Professional		$38.56	$43.10	$53.17
United Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $14.82 / $35.29	Professional		$8.18	$14.82	$35.29