Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $27.86 / $40.95	Facility		$25.59	$27.86	$40.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.85 / $33.71	Professional		$25.59	$25.85	$33.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $27.77 / $27.77	Facility		$25.59	$27.77	$27.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $34.02 / $57.25	Professional		$25.29	$34.02	$57.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $25.59 / $50.16	Facility		$25.59	$25.59	$50.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $24.14 / $25.59	Facility		$24.14	$24.14	$25.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $44.67 / $44.67	Professional		$25.25	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $34.06	Professional		$25.59	$25.59	$34.06