Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $9.80 / $17.44	Facility		$3.66	$9.80	$17.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $4.68 / $9.84	Professional		$3.66	$4.68	$9.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $7.03 / $19.03	Facility		$3.97	$7.03	$19.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.72 / $11.03	Professional		$2.04	$2.72	$11.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $5.50 / $8.80	Facility		$3.25	$5.50	$8.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $12.10 / $17.14	Facility		$5.48	$12.10	$17.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $6.61 / $8.26	Professional		$3.36	$6.61	$8.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $7.81 / $43.34	Professional		$6.01	$7.81	$43.34
United Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Facility		$4.95	$4.95	$4.95
United Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.30 / $7.69	Professional		$3.15	$4.30	$7.69