Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.22 / $60.26	Facility		$12.02	$16.22	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $16.98	Professional		$12.02	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $19.50 / $23.44	Facility		$4.27	$19.50	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $12.30	Professional		$2.09	$2.09	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $39.81 / $54.95	Facility		$28.18	$39.81	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.88 / $27.54	Professional		$20.42	$21.88	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $23.44	Professional		$19.95	$20.89	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.22 / $18.20	Facility		$10.00	$16.22	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $26.30	Professional		$7.59	$10.96	$26.30