Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $11.73 / $94.00	Facility		$11.73	$11.73	$94.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $13.97 / $16.29	Professional		$10.70	$13.97	$16.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $35.15	Professional		$5.00	$5.00	$35.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $23.84 / $29.57	Facility		$17.39	$23.84	$29.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $18.48 / $23.67	Professional		$16.89	$18.48	$23.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $70.00 / $114.99	Professional		$9.73	$70.00	$114.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $23.52 / $98.34	Professional		$16.97	$23.52	$98.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $37.24 / $40.00	Professional		$14.13	$37.24	$40.00