Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $28.84 / $56.23	Facility		$13.80	$28.84	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $23.44	Professional		$10.00	$14.13	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.95 / $26.92	Facility		$10.00	$19.95	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $31.62	Professional		$7.59	$12.02	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.90 / $47.86	Facility		$15.49	$30.90	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.05 / $23.99	Professional		$9.55	$19.05	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $56.23	Professional		$16.98	$21.88	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $13.80 / $18.62	Facility		$9.12	$13.80	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.47 / $28.18	Professional		$6.46	$10.47	$28.18