Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $29.18 / $24,843.00	Facility		$19.85	$29.18	$24,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $20.17 / $24.02	Professional		$19.97	$20.17	$24.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $32.51 / $73.29	Facility		$19.97	$32.51	$73.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.97 / $19.97	Professional		$17.38	$19.97	$19.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $39.14	Facility		$19.97	$19.97	$39.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $18.84 / $19.97	Facility		$18.84	$18.84	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $63.00 / $72.00	Professional		$21.25	$63.00	$72.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $21.40	Professional		$19.97	$19.97	$21.40