Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $6.25 / $6.25	Facility		$6.25	$6.25	$6.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $6.25 / $7.90	Professional		$4.32	$6.25	$7.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $8.21 / $18.78	Professional		$4.95	$8.21	$18.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $9.86 / $19.35	Facility		$8.39	$9.86	$19.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $8.39 / $8.39	Professional		$8.39	$8.39	$8.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $5.93 / $6.28	Facility		$5.93	$5.93	$6.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.04 / $11.20	Professional		$5.04	$5.04	$11.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $9.86 / $17.77	Professional		$7.50	$9.86	$17.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $4.72 / $8.21	Professional		$3.28	$4.72	$8.21