Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $37.86 / $1,655.10	Facility		$17.37	$37.86	$1,655.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $19.52 / $21.69	Professional		$18.23	$19.52	$21.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $31.78 / $71.64	Facility		$19.52	$31.78	$71.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $19.52 / $19.52	Professional		$15.63	$19.52	$19.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $19.52 / $38.26	Facility		$19.52	$19.52	$38.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $18.42 / $19.52	Facility		$18.42	$18.42	$19.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $37.00 / $47.00	Professional		$10.87	$37.00	$47.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $22.36	Professional		$19.52	$19.52	$22.36