Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $31.67 / $178.78	Facility		$31.67	$31.67	$178.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $35.43 / $55.08	Professional		$31.67	$35.43	$55.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $36.90 / $116.23	Facility		$31.67	$36.90	$116.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $28.47 / $28.47	Professional		$25.39	$28.47	$28.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $31.67 / $62.07	Facility		$31.67	$31.67	$62.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Facility		$32.76	$32.76	$32.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Professional		$32.76	$32.76	$32.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $30.43 / $167.42	Professional		$23.38	$30.43	$167.42
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $34.95 / $40.54	Professional		$29.26	$34.95	$40.54