Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.84 / $53.70	Facility		$14.45	$28.84	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.05	Professional		$10.00	$12.88	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $20.42 / $27.54	Facility		$10.47	$20.42	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.30 / $32.36	Professional		$7.94	$12.30	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $31.62 / $48.98	Facility		$15.85	$31.62	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.50 / $23.99	Professional		$10.00	$19.50	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $57.54	Professional		$17.38	$22.91	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.45 / $19.05	Facility		$9.33	$14.45	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.72 / $29.51	Professional		$6.76	$10.72	$29.51