Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $70.95 / $174.92	Facility		$22.06	$70.95	$174.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.92 / $26.69	Professional		$20.72	$20.92	$26.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $22.48 / $22.48	Facility		$20.72	$22.48	$22.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $20.72 / $20.72	Professional		$16.57	$20.72	$20.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $40.61	Facility		$20.72	$20.72	$40.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $20.72	Facility		$19.54	$19.54	$20.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.10 / $24.00	Professional		$8.10	$8.10	$24.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $29.78	Professional		$20.72	$20.72	$29.78