Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $33.61	Facility		$24.86	$24.86	$33.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $24.86 / $45.70	Professional		$24.85	$24.86	$45.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $28.55 / $101.99	Facility		$26.58	$28.55	$101.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $25.01 / $25.01	Professional		$25.01	$25.01	$25.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $25.59 / $50.16	Facility		$24.86	$25.59	$50.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Facility		$27.44	$27.44	$27.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $50.00 / $80.00	Professional		$24.86	$50.00	$80.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $29.25 / $34.74	Professional		$27.79	$29.25	$34.74