Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $49.28 / $102.26	Facility		$17.80	$49.28	$102.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $49.28 / $56.76	Professional		$46.91	$49.28	$56.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $53.47 / $53.47	Facility		$49.28	$53.47	$53.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $49.28 / $49.28	Professional		$39.42	$49.28	$49.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $96.59	Facility		$49.28	$49.28	$96.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $46.49 / $49.28	Facility		$46.49	$46.49	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $8.98 / $42.52	Professional		$8.98	$8.98	$42.52
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $58.96	Professional		$49.28	$49.28	$58.96