Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $108.55 / $322.30	Facility		$25.37	$108.55	$322.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.62 / $33.90	Professional		$25.37	$25.62	$33.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $27.53 / $27.53	Facility		$25.37	$27.53	$27.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.87	Professional		$25.37	$25.37	$25.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $49.90	Facility		$25.37	$25.37	$49.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $23.93 / $25.37	Facility		$23.93	$23.93	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $211.00 / $307.00	Professional		$36.77	$211.00	$307.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $38.82	Professional		$25.37	$25.37	$38.82