Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $25.89 / $34.61	Facility		$22.07	$25.89	$34.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $34.14	Professional		$22.07	$22.07	$34.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $25.72 / $81.00	Facility		$22.07	$25.72	$81.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $19.87 / $19.87	Professional		$15.89	$19.87	$19.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $22.07 / $43.26	Facility		$22.07	$22.07	$43.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $21.82 / $21.82	Facility		$21.82	$21.82	$21.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $21.82	Professional		$21.82	$21.82	$21.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $16.59 / $24.53	Professional		$13.90	$16.59	$24.53
United Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $23.98 / $24.65	Professional		$19.72	$23.98	$24.65