Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $66.29 / $66.29	Facility		$66.29	$66.29	$66.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $66.29 / $66.29	Professional		$63.90	$66.29	$66.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $72.22 / $72.22	Facility		$66.56	$72.22	$72.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $75.88 / $75.89	Professional		$64.48	$75.88	$75.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $69.89 / $136.97	Facility		$67.89	$69.89	$136.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $28.96 / $39.82	Professional		$27.06	$28.96	$39.82
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $73.44	Professional		$66.56	$66.56	$73.44