Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $85.28 / $315.64	Facility		$17.23	$85.28	$315.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $19.84 / $22.04	Professional		$18.09	$19.84	$22.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $21.53 / $21.53	Facility		$19.84	$21.53	$21.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $19.84 / $20.23	Professional		$19.69	$19.84	$20.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $19.84 / $39.02	Facility		$19.84	$19.84	$39.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $18.72 / $19.84	Facility		$18.72	$18.72	$19.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $19.84	Professional		$19.84	$19.84	$19.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $56.55 / $56.55	Professional		$14.14	$56.55	$56.55
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $45.56	Professional		$19.84	$19.84	$45.56