Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $255.30 / $535.62	Facility		$9.86	$255.30	$535.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.96 / $10.95	Professional		$9.56	$9.96	$10.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $10.70 / $24.03	Facility		$9.86	$10.70	$24.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $10.05	Professional		$9.86	$9.86	$10.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $9.86 / $19.39	Facility		$9.86	$9.86	$19.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $9.30 / $9.86	Facility		$9.30	$9.30	$9.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $37.47 / $38.70	Professional		$12.11	$37.47	$38.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $17.26	Professional		$9.86	$9.86	$17.26