Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $37.35 / $37.35	Facility		$37.35	$37.35	$37.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $37.35 / $37.35	Professional		$36.00	$37.35	$37.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $40.69 / $40.69	Facility		$37.50	$40.69	$40.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $40.50 / $42.75	Professional		$37.50	$40.50	$42.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $39.38 / $76.78	Facility		$38.25	$39.38	$76.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $102.01 / $1,997.00	Professional		$38.25	$102.01	$1,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $48.67	Professional		$37.50	$37.50	$48.67