Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $23.61 / $50.69	Facility		$10.63	$23.61	$50.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.79 / $25.74	Professional		$10.19	$12.79	$25.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $18.09 / $55.33	Facility		$10.81	$18.09	$55.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.51 / $27.35	Professional		$4.88	$6.51	$27.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $15.99 / $25.58	Facility		$10.81	$15.99	$25.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $35.18 / $49.11	Facility		$15.80	$35.18	$49.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $19.41 / $24.26	Professional		$8.10	$19.41	$24.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $20.79 / $47.40	Professional		$17.47	$20.79	$47.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $10.39 / $29.21	Professional		$7.20	$10.39	$29.21