Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $29.51 / $53.70	Facility		$14.45	$29.51	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $22.91	Professional		$10.00	$14.13	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.42 / $36.31	Facility		$14.45	$20.42	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.60 / $31.62	Professional		$7.94	$16.60	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $50.12	Facility		$16.22	$32.36	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $24.55	Professional		$10.00	$19.95	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $53.70	Professional		$17.78	$22.91	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.45 / $19.50	Facility		$9.55	$14.45	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.23 / $29.51	Professional		$6.76	$10.23	$29.51