Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $20.89	Professional		$10.00	$15.14	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.95 / $31.62	Professional		$12.02	$19.95	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $38.90	Facility		$15.85	$15.85	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $16.22	Professional		$9.77	$13.49	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $24.55 / $38.90	Professional		$15.14	$24.55	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.33 / $13.80	Facility		$6.92	$9.33	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.48 / $20.89	Professional		$7.94	$11.48	$20.89