Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $30.80 / $45.28	Facility		$28.61	$30.80	$45.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.90 / $37.27	Professional		$28.61	$28.90	$37.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $46.58 / $105.00	Facility		$28.61	$46.58	$105.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $29.18	Professional		$28.61	$28.61	$29.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $56.28	Facility		$28.61	$28.61	$56.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $28.61	Facility		$26.99	$26.99	$28.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $187.50 / $187.50	Professional		$27.90	$187.50	$187.50
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $150.55	Professional		$28.61	$28.61	$150.55