Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $33.40 / $58.77	Facility		$12.33	$33.40	$58.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $16.13 / $26.88	Professional		$12.33	$16.13	$26.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $23.69 / $64.15	Facility		$13.38	$23.69	$64.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $9.16 / $37.15	Professional		$6.87	$9.16	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $18.54 / $29.66	Facility		$12.65	$18.54	$29.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $40.79 / $58.00	Facility		$18.38	$40.79	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $22.72 / $28.40	Professional		$11.46	$22.72	$28.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $24.10 / $66.63	Professional		$20.26	$24.10	$66.63
United Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $16.69 / $22.94	Facility		$16.69	$16.69	$22.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.54 / $33.86	Professional		$10.19	$13.54	$33.86