Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $41.98 / $91.47	Facility		$41.96	$41.98	$91.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $50.77	Professional		$41.98	$41.98	$50.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $68.34 / $154.07	Facility		$41.98	$68.34	$154.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.98 / $41.98	Professional		$37.15	$41.98	$41.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $41.98 / $82.28	Facility		$41.98	$41.98	$82.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $39.61 / $41.98	Facility		$39.61	$39.61	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Professional		$41.98	$41.98	$41.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $91.00 / $178.00	Professional		$45.41	$91.00	$178.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $45.15	Professional		$41.98	$41.98	$45.15