Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $53.57 / $622.10	Facility		$25.27	$53.57	$622.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.52 / $32.75	Professional		$25.27	$25.52	$32.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $27.42 / $27.42	Facility		$25.27	$27.42	$27.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $25.27 / $25.27	Professional		$22.86	$25.27	$25.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $49.53	Facility		$25.27	$25.27	$49.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $23.84 / $25.27	Facility		$23.84	$23.84	$25.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $33.53	Professional		$14.22	$14.22	$33.53
United Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $79.86 / $79.86	Facility		$28.69	$79.86	$79.86
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $37.38	Professional		$25.27	$25.27	$37.38