Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.77 / $54.01	Facility		$36.74	$36.77	$54.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.77 / $44.46	Professional		$36.74	$36.77	$44.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $59.86 / $134.94	Facility		$36.77	$59.86	$134.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $36.77 / $72.06	Facility		$36.77	$36.77	$72.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $34.68 / $36.77	Facility		$34.68	$34.68	$36.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $38.14 / $105.00	Professional		$28.08	$38.14	$105.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $42.76	Professional		$36.77	$36.77	$42.76