Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $41.11 / $60.36	Facility		$41.06	$41.11	$60.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.11 / $49.68	Professional		$41.06	$41.11	$49.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $66.93 / $150.87	Facility		$41.11	$66.93	$150.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $41.11 / $41.11	Professional		$37.75	$41.11	$41.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $80.58	Facility		$41.11	$41.11	$80.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $38.78 / $41.11	Facility		$38.78	$38.78	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $53.00 / $82.00	Professional		$39.96	$53.00	$82.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $53.93	Professional		$41.11	$41.11	$53.93