Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Facility		$29.71	$29.71	$29.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $30.91 / $51.68	Professional		$29.71	$30.91	$51.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $34.63 / $109.04	Facility		$29.71	$34.63	$109.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Professional		$26.71	$26.71	$26.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $58.23	Facility		$29.71	$29.71	$58.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Facility		$29.33	$29.33	$29.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Professional		$29.33	$29.33	$29.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $26.61 / $31.76	Professional		$1.07	$26.61	$31.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $31.28 / $40.52	Professional		$25.44	$31.28	$40.52