Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.10 / $24,165.57	Facility		$18.07	$18.10	$24,165.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.26 / $21.90	Professional		$18.07	$18.26	$21.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $29.43 / $66.34	Facility		$18.07	$29.43	$66.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Professional		$18.07	$18.07	$18.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $35.44	Facility		$18.07	$18.07	$35.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $18.07	Facility		$17.05	$17.05	$18.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Professional		$18.07	$18.07	$18.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $52.00 / $57.00	Professional		$19.54	$52.00	$57.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $20.11	Professional		$18.07	$18.07	$20.11