Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $18.92 / $23,607.48	Facility		$18.92	$18.92	$23,607.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.92 / $19.38	Professional		$18.23	$18.92	$19.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $21.66 / $21.66	Professional		$19.00	$21.66	$21.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.95 / $19.95	Facility		$19.38	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $85.00	Facility		$19.38	$19.38	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $28.10	Professional		$19.38	$19.38	$28.10