Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.61 / $179.17	Facility		$39.54	$39.61	$179.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.61 / $47.94	Professional		$39.54	$39.61	$47.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $42.90 / $42.90	Facility		$39.54	$42.90	$42.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $39.54 / $39.54	Professional		$33.89	$39.54	$39.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.54 / $77.50	Facility		$39.54	$39.54	$77.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $37.29 / $39.54	Facility		$37.29	$37.29	$39.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $80.23 / $80.23	Professional		$31.61	$80.23	$80.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $73.50	Professional		$39.54	$39.54	$73.50