Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $37.54	Facility		$13.26	$13.26	$37.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $16.98 / $21.21	Professional		$13.26	$16.98	$21.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $44.55 / $116.78	Facility		$31.82	$44.55	$116.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $26.46 / $50.80	Professional		$20.99	$26.46	$50.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $27.05 / $58.87	Facility		$26.25	$27.05	$58.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $27.05	Professional		$27.05	$27.05	$27.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $25.14	Facility		$25.14	$25.14	$25.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $36.75	Professional		$21.37	$21.37	$36.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $31.82 / $242.00	Professional		$24.18	$31.82	$242.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $15.88 / $26.17	Professional		$11.05	$15.88	$26.17