Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $23.65 / $50.14	Facility		$23.63	$23.65	$50.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.89 / $28.59	Professional		$23.63	$23.89	$28.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $38.50 / $86.80	Facility		$23.65	$38.50	$86.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $46.35	Facility		$23.65	$23.65	$46.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $23.65	Facility		$22.31	$22.31	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $43.00 / $94.00	Professional		$25.49	$43.00	$94.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $25.60	Professional		$23.65	$23.65	$25.60