Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $21.39 / $81.06	Facility		$7.87	$21.39	$81.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $9.47 / $21.17	Professional		$7.87	$9.47	$21.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $15.12 / $40.97	Facility		$8.53	$15.12	$40.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.85 / $23.75	Professional		$4.38	$5.85	$23.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $11.84 / $18.94	Facility		$8.08	$11.84	$18.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $26.05 / $36.77	Facility		$11.93	$26.05	$36.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $14.46 / $18.07	Professional		$7.33	$14.46	$18.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $15.39 / $42.56	Professional		$12.94	$15.39	$42.56
United Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $10.66 / $14.65	Facility		$10.66	$10.66	$14.65
United Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $8.08 / $16.55	Professional		$4.97	$8.08	$16.55