Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $12.47 / $22.13	Facility		$4.63	$12.47	$22.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $6.07 / $10.19	Professional		$4.63	$6.07	$10.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $8.92 / $24.15	Facility		$5.04	$8.92	$24.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.45 / $13.99	Professional		$2.58	$3.45	$13.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $6.98 / $11.17	Facility		$5.60	$6.98	$11.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $15.36 / $22.06	Facility		$7.09	$15.36	$22.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $8.67 / $10.84	Professional		$4.28	$8.67	$10.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.07 / $25.08	Professional		$7.63	$9.07	$25.08
United Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $3.84 / $4.00	Facility		$3.84	$3.84	$4.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.25 / $12.75	Professional		$4.09	$5.25	$12.75