Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $34.58 / $34.58	Facility		$34.58	$34.58	$34.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $34.58 / $34.58	Professional		$33.33	$34.58	$34.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $37.67 / $37.67	Facility		$34.72	$37.67	$37.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $39.58 / $50.38	Professional		$34.72	$39.58	$50.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $36.45 / $71.45	Facility		$35.40	$36.45	$71.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $37.40	Professional		$5.98	$5.98	$37.40
United Facility/Professional Facility Modifier Low / Median / High Price $53.03 / $103.41 / $103.41	Facility		$53.03	$103.41	$103.41
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $47.53	Professional		$34.72	$34.72	$47.53