Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $29.47 / $50.72	Facility		$10.64	$29.47	$50.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $12.80 / $15.20	Professional		$10.64	$12.80	$15.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $16.00 / $48.75	Facility		$9.83	$16.00	$48.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $5.92 / $24.97	Professional		$4.44	$5.92	$24.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $16.00 / $25.60	Facility		$11.01	$16.00	$25.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $35.20 / $44.19	Facility		$20.80	$35.20	$44.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $19.41 / $24.26	Professional		$18.17	$19.41	$24.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $18.39 / $20.80	Professional		$17.60	$18.39	$20.80
United Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $14.40 / $14.40	Facility		$14.40	$14.40	$14.40
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.60 / $16.80	Professional		$6.72	$9.60	$16.80