Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $34.18 / $50.23	Facility		$34.17	$34.18	$50.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $34.18 / $41.35	Professional		$34.17	$34.18	$41.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $55.65 / $125.44	Facility		$34.18	$55.65	$125.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $34.18 / $34.18	Professional		$27.34	$34.18	$34.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $34.18 / $66.98	Facility		$34.18	$34.18	$66.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $32.25 / $34.18	Facility		$32.25	$32.25	$34.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $36.43	Professional		$10.36	$10.36	$36.43
United Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $90.94 / $90.94	Facility		$35.04	$90.94	$90.94
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $38.95	Professional		$34.18	$34.18	$38.95