Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $36.69 / $46.08	Facility		$31.35	$36.69	$46.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $36.69 / $38.52	Professional		$31.35	$36.69	$38.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $39.81 / $39.81	Facility		$36.69	$39.81	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $36.69 / $36.69	Professional		$29.35	$36.69	$36.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $72.16	Facility		$36.69	$36.69	$72.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $36.69	Facility		$34.61	$34.61	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $16.01 / $32.07	Professional		$16.01	$16.01	$32.07
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $56.14	Professional		$36.69	$36.69	$56.14