Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $31.33 / $68.30	Facility		$31.27	$31.33	$68.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $32.21 / $2,099.16	Professional		$31.27	$32.21	$2,099.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $50.91 / $114.76	Facility		$31.27	$50.91	$114.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $31.27 / $61.29	Facility		$31.27	$31.27	$61.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $31.27	Facility		$29.50	$29.50	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $94.00 / $133.00	Professional		$29.29	$94.00	$133.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $41.62	Professional		$31.27	$31.27	$41.62