Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.51 / $269.80	Facility		$24.50	$24.51	$269.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.73 / $33.64	Professional		$24.50	$24.73	$33.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $39.89 / $89.92	Facility		$24.50	$39.89	$89.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $48.02	Facility		$24.50	$24.50	$48.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $23.11 / $24.50	Facility		$23.11	$23.11	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.24 / $24.07	Professional		$3.84	$4.24	$24.07
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50