Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $33.86 / $59.94	Facility		$12.58	$33.86	$59.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $15.13 / $33.83	Professional		$12.58	$15.13	$33.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $24.16 / $65.43	Facility		$13.65	$24.16	$65.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $9.34 / $37.90	Professional		$7.00	$9.34	$37.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $18.91 / $30.26	Facility		$12.80	$18.91	$30.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $41.60 / $58.52	Facility		$18.70	$41.60	$58.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $23.13 / $28.91	Professional		$11.61	$23.13	$28.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $24.58 / $67.95	Professional		$20.66	$24.58	$67.95
United Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.84 / $23.64	Facility		$10.40	$10.84	$23.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.81 / $26.43	Professional		$7.94	$13.81	$26.43