Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $36.31 / $66.07	Facility		$17.78	$36.31	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $25.12	Professional		$12.88	$16.98	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.12 / $46.77	Facility		$17.38	$25.12	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $18.62 / $42.66	Professional		$9.77	$18.62	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.90 / $60.26	Facility		$19.50	$38.90	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.99 / $30.20	Professional		$12.88	$23.99	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $75.86	Professional		$21.38	$27.54	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.78 / $23.44	Facility		$12.30	$17.78	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.79 / $44.67	Professional		$8.32	$14.79	$44.67