Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $18.50 / $42.09	Facility		$17.37	$18.50	$42.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $18.50 / $21.02	Professional		$17.37	$18.50	$21.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $30.12 / $67.90	Facility		$18.50	$30.12	$67.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $18.50 / $18.50	Professional		$17.37	$18.50	$18.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $18.50 / $36.26	Facility		$18.50	$18.50	$36.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $17.45 / $18.50	Facility		$17.45	$17.45	$18.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Professional		$18.50	$18.50	$18.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $172.00 / $194.00	Professional		$19.80	$172.00	$194.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $19.61 / $23.68	Professional		$18.50	$19.61	$23.68