Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.45 / $53.70	Facility		$10.00	$14.45	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $15.14	Professional		$10.00	$12.02	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.38 / $20.89	Facility		$11.48	$17.38	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $19.50	Professional		$5.89	$5.89	$19.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.48 / $48.98	Facility		$25.12	$35.48	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $23.99	Professional		$18.20	$19.50	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.20 / $20.89	Professional		$17.78	$18.20	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $14.45 / $15.85	Facility		$8.71	$14.45	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $23.44	Professional		$6.76	$9.55	$23.44