Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $20.99 / $27.69	Facility		$18.84	$20.99	$27.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $20.99 / $22.80	Professional		$19.78	$20.99	$22.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $34.17 / $77.03	Facility		$20.99	$34.17	$77.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $41.14	Facility		$20.99	$20.99	$41.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $20.99	Facility		$19.80	$19.80	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $71.00 / $111.00	Professional		$19.48	$71.00	$111.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $21.25	Professional		$20.99	$20.99	$21.25