Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $53.78 / $383.52	Facility		$13.18	$53.78	$383.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $53.78 / $53.78	Professional		$51.84	$53.78	$53.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $58.59 / $58.59	Facility		$54.00	$58.59	$58.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $43.20 / $61.56	Professional		$35.46	$43.20	$61.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $56.70 / $111.13	Facility		$55.08	$56.70	$111.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $14.94 / $55.08	Professional		$14.94	$14.94	$55.08
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $64.80	Professional		$54.00	$54.00	$64.80