Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $8,755.66 / $27,516.26	Facility		$12.99	$8,755.66	$27,516.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $13.12 / $16.07	Professional		$12.99	$13.12	$16.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $21.15 / $47.67	Facility		$12.99	$21.15	$47.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $12.99 / $25.46	Facility		$12.99	$12.99	$25.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $12.26 / $12.99	Facility		$12.26	$12.26	$12.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $38.00 / $70.00	Professional		$11.93	$38.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $17.54	Professional		$12.99	$12.99	$17.54