Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.02 / $44.67	Facility		$5.75	$12.02	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $13.49	Professional		$6.03	$10.00	$13.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.80 / $17.38	Facility		$7.08	$13.80	$17.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.46 / $12.02	Professional		$4.57	$6.46	$12.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Facility		$7.76	$7.76	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.30 / $40.74	Facility		$13.18	$26.30	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $16.22 / $19.95	Professional		$3.63	$16.22	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $25.12	Professional		$14.45	$18.62	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $12.02 / $13.49	Facility		$4.37	$12.02	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.62 / $16.60	Professional		$3.47	$5.62	$16.60