Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $18.17 / $38.52	Facility		$17.67	$18.17	$38.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.35 / $21.38	Professional		$18.17	$18.35	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $19.71 / $19.71	Facility		$18.17	$19.71	$19.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.53	Professional		$18.17	$18.17	$18.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $18.17 / $35.61	Facility		$18.17	$18.17	$35.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $18.17	Facility		$17.14	$17.14	$18.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $107.91 / $107.91	Professional		$17.09	$107.91	$107.91
United Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $31.59 / $31.59	Facility		$31.59	$31.59	$31.59
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $35.67	Professional		$18.17	$18.17	$35.67