Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $30.32 / $64.28	Facility		$27.99	$30.32	$64.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $30.32 / $33.86	Professional		$29.39	$30.32	$33.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $49.36 / $111.27	Facility		$30.32	$49.36	$111.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.92	Professional		$30.32	$30.32	$30.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $30.32 / $59.65	Facility		$30.32	$30.32	$59.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $30.32	Facility		$23.58	$23.58	$30.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $837.00 / $1,297.00	Professional		$24.71	$837.00	$1,297.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $32.14 / $38.81	Professional		$30.32	$32.14	$38.81