Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $26.99	Facility		$26.99	$26.99	$26.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.99 / $26.99	Professional		$26.02	$26.99	$26.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $29.40 / $29.40	Facility		$27.10	$29.40	$29.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $27.10 / $30.89	Professional		$25.65	$27.10	$30.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $28.46 / $55.77	Facility		$27.64	$28.46	$55.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Facility		$27.64	$27.64	$27.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $40.00 / $61.00	Professional		$23.18	$40.00	$61.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $32.19	Professional		$27.10	$27.10	$32.19