Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $71.77 / $304.20	Facility		$21.31	$71.77	$304.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.53 / $25.65	Professional		$21.20	$21.53	$25.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $23.12 / $23.12	Facility		$21.31	$23.12	$23.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $21.31 / $21.31	Professional		$17.04	$21.31	$21.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $41.77	Facility		$21.31	$21.31	$41.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $20.11 / $21.31	Facility		$20.11	$20.11	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.71 / $23.03	Professional		$2.71	$2.71	$23.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $22.76	Professional		$21.31	$21.31	$22.76