Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.88 / $58.62	Facility		$39.86	$39.88	$58.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.88 / $48.25	Professional		$39.86	$39.88	$48.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $64.91 / $146.32	Facility		$39.86	$64.91	$146.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $39.86 / $39.86	Professional		$31.89	$39.86	$39.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $78.15	Facility		$39.86	$39.86	$78.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $37.61 / $39.86	Facility		$37.61	$37.61	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.97 / $42.48	Professional		$32.15	$32.97	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $46.07	Professional		$39.86	$39.86	$46.07