Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $37.42 / $57.25	Facility		$12.01	$37.42	$57.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $15.71 / $32.29	Professional		$12.01	$15.71	$32.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $23.07 / $62.49	Facility		$13.03	$23.07	$62.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $8.92 / $39.36	Professional		$6.69	$8.92	$39.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $18.05 / $28.90	Facility		$12.32	$18.05	$28.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $39.72 / $58.00	Facility		$18.55	$39.72	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $21.89 / $27.36	Professional		$12.83	$21.89	$27.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $23.48 / $74.75	Professional		$19.73	$23.48	$74.75
United Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $25.75	Facility		$16.25	$16.25	$25.75
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.19 / $29.07	Professional		$7.59	$15.19	$29.07