Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $22.91	Professional		$10.96	$15.85	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.50 / $30.20	Professional		$11.75	$19.50	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $41.69	Facility		$16.60	$16.60	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $28.18	Professional		$14.13	$14.13	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $38.02	Professional		$16.60	$23.99	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.72 / $15.85	Facility		$7.94	$10.72	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.48 / $22.91	Professional		$7.76	$11.48	$22.91