Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $13.82 / $26.14	Facility		$5.13	$13.82	$26.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.71 / $12.60	Professional		$5.13	$6.71	$12.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $9.85 / $26.68	Facility		$5.57	$9.85	$26.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $3.80 / $15.46	Professional		$2.85	$3.80	$15.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $7.71 / $12.34	Facility		$4.43	$7.71	$12.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $16.96 / $24.05	Facility		$7.74	$16.96	$24.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $9.50 / $11.88	Professional		$4.74	$9.50	$11.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.02 / $27.70	Professional		$8.42	$10.02	$27.70
United Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $6.30 / $14.09	Professional		$4.24	$6.30	$14.09