Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $29.12 / $29.12	Facility		$29.12	$29.12	$29.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $29.12 / $35.25	Professional		$21.08	$29.12	$35.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $182.76 / $421.52	Professional		$39.32	$182.76	$421.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.36 / $58.38 / $64.42	Facility		$56.36	$58.38	$64.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $47.18 / $47.18	Facility		$47.18	$47.18	$47.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $52.87	Professional		$32.44	$32.44	$52.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $40.26 / $109.00	Professional		$40.26	$40.26	$109.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $21.15 / $46.67	Professional		$14.10	$21.15	$46.67