Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $37.35 / $562.84	Facility		$37.35	$37.35	$562.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $37.35 / $37.35	Professional		$36.00	$37.35	$37.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $40.69 / $40.69	Facility		$0.64	$40.69	$40.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $42.75 / $43.64	Professional		$30.00	$42.75	$43.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $39.38 / $77.18	Facility		$38.25	$39.38	$77.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $3.67 / $38.46	Professional		$3.67	$3.67	$38.46
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $42.24	Professional		$37.50	$37.50	$42.24