Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $75.01 / $219.65	Facility		$15.30	$75.01	$219.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.45 / $20.49	Professional		$15.30	$15.45	$20.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.60 / $16.60	Facility		$15.30	$16.60	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $15.30 / $15.30	Professional		$12.24	$15.30	$15.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $30.10	Facility		$15.30	$15.30	$30.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $14.43 / $15.30	Facility		$14.43	$14.43	$15.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $13.54	Professional		$1.23	$1.23	$13.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $23.41	Professional		$15.30	$15.30	$23.41