Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $19.97 / $25.21	Professional		$13.73	$19.97	$25.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $26.22 / $58.33	Professional		$16.45	$26.22	$58.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $26.80 / $59.30	Facility		$26.60	$26.80	$59.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $26.80 / $26.80	Professional		$26.80	$26.80	$26.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $18.95	Facility		$18.95	$18.95	$18.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $35.84	Professional		$16.11	$16.11	$35.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $31.53 / $41.42	Professional		$23.96	$31.53	$41.42
United Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $15.08 / $25.97	Professional		$10.49	$15.08	$25.97