Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.39 / $40.09	Facility		$18.14	$18.39	$40.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.32 / $22.25	Professional		$18.14	$18.32	$22.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $29.55 / $66.61	Facility		$18.14	$29.55	$66.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $27.95 / $29.35	Professional		$15.92	$27.95	$29.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $35.57	Facility		$18.14	$18.14	$35.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $17.12 / $18.14	Facility		$17.12	$17.12	$18.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $28.00 / $76.00	Professional		$14.64	$28.00	$76.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $26.37	Professional		$18.14	$18.14	$26.37