Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $16.07 / $22.90	Facility		$15.58	$16.07	$22.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $16.07 / $18.85	Professional		$15.58	$16.07	$18.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $26.18 / $59.01	Facility		$16.07	$26.18	$59.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.39	Professional		$16.07	$16.07	$16.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $31.62	Facility		$16.07	$16.07	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $16.07	Facility		$15.17	$15.17	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $80.37	Professional		$14.88	$14.88	$80.37
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $28.14	Professional		$16.07	$16.07	$28.14