Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $9.35 / $24.79	Facility		$5.20	$9.35	$24.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $9.10 / $72.93	Professional		$5.20	$9.10	$72.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $8.49 / $27.06	Facility		$5.20	$8.49	$27.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.13 / $11.33	Professional		$2.34	$3.13	$11.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $7.82 / $12.51	Facility		$5.08	$7.82	$12.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $7.82	Professional		$5.08	$5.08	$7.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $16.34 / $24.05	Facility		$6.61	$16.34	$24.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $9.50 / $11.88	Professional		$3.58	$9.50	$11.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $10.17 / $18.77	Professional		$8.55	$10.17	$18.77
United Facility/Professional Facility Modifier Low / Median / High Price $7.04 / $7.04 / $7.04	Facility		$7.04	$7.04	$7.04
United Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $4.57 / $7.98	Professional		$3.28	$4.57	$7.98