Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.18 / $104.71	Facility		$19.95	$28.18	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $30.20	Professional		$19.95	$23.99	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $33.88 / $40.74	Facility		$13.18	$33.88	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $21.38	Professional		$6.61	$6.61	$21.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $69.18 / $95.50	Facility		$48.98	$69.18	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $47.86	Professional		$36.31	$38.02	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $36.31 / $40.74	Professional		$34.67	$36.31	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.18 / $31.62	Facility		$17.38	$28.18	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $45.71	Professional		$13.18	$18.62	$45.71