Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $18.20 / $69.18	Facility		$5.13	$18.20	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $15.14 / $20.42	Professional		$5.01	$15.14	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $20.42 / $26.30	Facility		$7.24	$20.42	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.13 / $14.79	Professional		$5.13	$8.13	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $39.81 / $61.66	Facility		$12.02	$39.81	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $24.55 / $30.90	Professional		$3.31	$24.55	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $38.90	Professional		$16.22	$23.44	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $18.20 / $20.42	Facility		$3.80	$18.20	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $8.51 / $25.70	Professional		$3.24	$8.51	$25.70